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DocuSign Envelope ID:07A4359F-6D47-4987-B1F1-BF667ACBB3BA <br /> 7. List three material suppliers, including an individual's name and telephone number. <br /> a) <br /> b) <br /> c) <br /> 8. List bank references. Include an individual's name and telephone number. <br /> 9. Bonding reference, name, address,telephone. <br /> 10. Are you on any list of debarred contractors maintained by the U.S. Department of Labor, <br /> the U.S. Department of Housing and Urban Development or the North Carolina <br /> Department of Transportation? <br /> Yes No <br /> 11. The undersigned hereby authorizes and requests any person, firm or corporation to furnish <br /> any information requested by Draper Aden Associates in verification of the recitals <br /> comprising this statement of contractor's qualifications. <br /> 12. State the true, exact, correct, and complete name of the partnership, corporation or trade <br /> name under which you do business, and the address of the place of business. (If a <br /> corporation, state the name of the President and Secretary. If a partnership, state the <br /> names of all partners. If a trade name, state the names of the individuals who do business <br /> under the trade name.) It is absolutely necessary that this information be furnished. <br /> Correct Name of Bidder <br /> (a) The Business is a <br /> Orange County Solid Waste Drainage Repairs DAA 2200365/TRC 017055.0000.0000 <br /> Drainage Repair Project November 2023 <br /> Orange County, NC BQS-3/4 <br />