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17 <br /> BIDDER'S QUALIFICATION STATEMENT <br /> 8. List bank references. Include an individuals name and telephone number. <br /> Meas e see, attached <br /> 4. Bonding reference,name,address,telephone. <br /> USL T-n9oraince Sex-Aces SCOL- tthoa-s 61°bVb-3253 <br /> 054 Q CQIC!ofiade Drive 5oite t I I . V41 eiab,fir] 21(015 <br /> 10. Are you on any list of debarred contractors maintained by the U.S. Department of Labor, the <br /> U.S. Department of Housing and Urban Development or the North Carolina Department of <br /> Transportation? <br /> Yes No L," <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 names <br /> of all partners. If a trade name, state the names of the individuals who do business under the <br /> trade name.) It is absolutely necessary that this information be furnished. <br /> al <br /> Correct Name of Bidder <br /> (a) The Business is a C'uVoyt7 boo <br /> (b) The address of principal place of business is: <br /> 1�0 k aver -U . EmVian lac 2-1253 <br /> (c) Phone number 031A 27-1-45151 <br /> (d) The name of the corporate officers, or partners, or individuals doing business under a trade <br /> name,are as follows: <br /> �Mif, P. %-V,1Ds <br /> Cya T. 'Pert r ar ayy) <br /> Attendant Booth Additions TRC PAI. 670493 <br /> Orange County, North Carolina AUGUST 2025 <br /> BQS-3 <br />