Please provide the following information completely and accurately
Your Name

First
Last
Email Address

TRADE REFERENCES

Reference 1
Name

First
Last
Phone Number

###		-
###		-
####
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Reference 2
Name

First
Last
Phone Number

###		-
###		-
####
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Reference 3
Name

First
Last
Phone Number

###		-
###		-
####
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

GENERAL CONTRACTOR REFERENCES (Past 2 Years)

Reference 1
Name

First
Last
Phone Number

###		-
###		-
####
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Reference 2
Name

First
Last
Phone Number

###		-
###		-
####
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

Reference 3
Name

First
Last
Phone Number

###		-
###		-
####
Address

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country

SIGNIFICANT PROJECTS CURRENTLY UNDER CONSTRUCTION

Project 1
Project Name and Location
Contact Name

First
Last
Phone Number

###		-
###		-
####
Contract Amount ($)
Date of Completion

MM		/
DD		/
YYYY

Project 2
Project Name and Location
Contact Name

First
Last
Phone Number

###		-
###		-
####
Contract Amount ($)
Date of Completion

MM		/
DD		/
YYYY

Project 3
Project Name and Location
Contact Name

First
Last
Phone Number

###		-
###		-
####
Contract Amount ($)
Date of Completion

MM		/
DD		/
YYYY

IMPORTANT!! READ BEFORE SIGNING!!

1. Attach a complete resume of the proposed Project Manager and Superintendent to be utilized for this project. Resume should include Related Experience. If the Qualified Bidder is successful in obtaining the contract, it is expected that these individuals will actually be committed to the project.

2. Supply a list of workers and equipment available to perform the work. If the Qualified Bidder is successful in obtaining the contract, it is expected that these workers and resources will actually be committed to the project.

I hereby certify that the above information is true and complete to the best of my knowledge.

I also certify that I have reviewed the above requirements and agree to comply with them.
Digital Signiture (Full Name)
Today's Date

MM		/
DD		/
YYYY
Project Manager Resume
Superintendent Resume
Worker and Equipment List

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