Laserfiche WebLink
03/02/00 11:57 FAX 9702412832 WC REAL ESTATE M <br />CONTRACTOR STATEMENT OF EXPERIENCE <br />STATE FORM SC-9.1 <br />DATE SUBMITTED: 2.- Zed- zcn? <br />COMPANY INFORMATION/ <br />NAME OF COMPANY:T--!?J ??12J? n c, <br />DBA or TRADE NAME: <br />STREET ADDRESS: (7?-ZZ (?,Ij _= <br />CITY, STATE, ZIP G? n ?G+: _ S',D <br />TELEPHONE: (97D 2-W Z-.3593. FAX: (976) 2-03-O 539 <br />FEDERAL EMPLOYER IDENTIFICATION NUMBER: }°_?IG- /? _ 3sf21 <br />PRINCIPAL OWNER/OFFICER: Name. ?rg ? ?4?-V <br />Title: <br />CONTACT: Name: K?rfie LV- Sfg ? 2?• Title: ? <br />z-rs <br />TELEPHONE: 74) ) ??/2- ?_g FAX: (Z,l) 2-41R- eA 39 <br />BONDING <br />Please indicate current bonding limits: Single Project: <br />Aggregate: <br />Please list surety companies, including address and agent. <br />State Form SC-9.1 <br />Revised 12/99 <br />1 of 2 <br />1. <br />L9J ?is_,._