CITY OF NEWTON BIDDER'S QUALIFICATIONS AND REFERENCES FORM All questions must be answered, and the data must be clear and comprehensive. Please type or print legibly. If necessary, add additional sheet for starred items. This information will be utilized by the City of Newton for purposes of determining bidder responsiveness and responsibility with regard to the requirements and specifications of the Contract. FIRM NAME: WHEN ORGANIZED: 3 INCORPORATED? YES NO DATE AND STATE OF INCORPORATION: 4. IS YOUR BUSINESS A MBE? YES NO WBE? YES NO or MWBE? YES NO 5. LIST ALL CONTRACTS CURRENTLY ON HAND, SHOWING CONTRACT AMOUNT AND ANTICIPATED DATE OFCOMPLETION: 6. HAVE YOU EVER FAILED TO COMPLETE A CONTRACT AWARDED TO YOU? YES NO IF YES, WHERE AND WHY? IF YES, PROVIDE DETAILS. 7. HAVE YOU EVER DEFAULTED ON A CONTRACT? YES NO 8. LIST YOUR VEHICLES/EQUIPMENT AVAILABLE FOR THIS CONTRACT: 9. IN THE SPACES FOLLOWING, PROVIDE INFORMATION REGARDING CONTRACTS COMPLETED BY YOUR FIRM SIMILAR IN NATURE TO THE PROJECT BEING BID. A MINIMUM OF FOUR (4) CONTRACTS SHALL BE LISTED. PUBLICLY BID CONTRACTS ARE PREFERRED, BUT NOT MANDATORY. PROJECT NAME: OWNER: CITY/STATE:
CITY OF NEWTON BIDDER'S QUALIFICATIONS AND REFERENCES FORM All questions must be answered, and the data must be clear and comprehensive. Please type or print legibly. If necessary, add additional sheet for starred items. This information will be utilized by the City of Newton for purposes of determining bidder responsiveness and responsibility with regard to the requirements and specifications of the Contract. FIRM NAME: WHEN ORGANIZED: 3 INCORPORATED? YES NO DATE AND STATE OF INCORPORATION: 4. IS YOUR BUSINESS A MBE? YES NO WBE? YES NO or MWBE? YES NO 5. LIST ALL CONTRACTS CURRENTLY ON HAND, SHOWING CONTRACT AMOUNT AND ANTICIPATED DATE OFCOMPLETION: 6. HAVE YOU EVER FAILED TO COMPLETE A CONTRACT AWARDED TO YOU? YES NO IF YES, WHERE AND WHY? 7. HAVE YOU EVER DEFAULTED ON A CONTRACT? IF YES, PROVIDE DETAILS. YES NO 8. LIST YOUR VEHICLES/EQUIPMENT AVAILABLE FOR THIS CONTRACT: 9. IN THE SPACES FOLLOWING, PROVIDE INFORMATION REGARDING CONTRACTS COMPLETED BY YOUR FIRM SIMILAR IN NATURE TO THE PROJECT BEING BID. A MINIMUM OF FOUR (4) CONTRACTS SHALL BE LISTED. PUBLICLY BID CONTRACTS ARE PREFERRED, BUT NOT MANDATORY. PROJECT NAME: OWNER: CITY/STATE:
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