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Document A305

-1986

Contractor's Qualification Statement

The Undersigned certifies under oath that the information provided herein is true and sufficiently

complete so as not to be misleading.

SUBMITTED TO:

M

r. Arch

"B

eaver

"

Aplin

B

uc-ee

'

s

327 FM 2004

Lake Jackson, TX 77566

SUBMITTED BY:

J. Raymond Construction

Corp.

NAME:

Paul Graham

ADDRESS:

465 West Warren Avenue

Longwood, FL 32750

Phone 407-862-6966

Fax 407-571-3596

PRINCIPAL OFF

I

CE:

Same a above.

[ X]Corporation

[

J Partnership

[

J Individual

J

Joint Venture

J Other

NAME OF PROJECT

(ifapplicable):

TYPE OF WORK

(file separate form for each Classification ofWork):

X

] General Construction

]HVAC

J

Electrical

J Plumbing

]Other (please specify)

§ 1. ORGANIZATION

§ 1.1

How many years has your organization been in business as a Contractor?

26

§

1.2

How many years has your organization been in business under its present business

name? 26

§

1.2.1

Under what other or former names has your organization operated?

ADDITIONS AND DELETIONS:

The author of this document has

added information needed for its

completion. The author may also

have revised the text of the original AIA

standard form. An

Additions and Deletions

Report

that notes added information as well as

revisions to

the standard form text is available

from the author and should be

reviewed. A vertical line in the left margin of

this document indicates where the author has

added

necessary information and where

the author has added to or deleted from the

original AIA text.

This document has important legal

consequences. Consultation with an attorney

is encouraged with respect to its completion or

modification.

This form is approved and

recommended by the American

Institute of Architects (AIA) and The

Associated General Contractors of America

(AGC) for use in evaluating the qualifications

of contractors. No endorsement of the

submitting party or verification of the

information is made by AIA or AGC.

AIA Document A305

-1986. Copyright©1964, 1969, 1979 and 1986 by The American Institute of Architects. All rights reserved.

WARNING

:

This AJA

®

Document is protected by U

.

S

.

Copyright Law a

n

d International Treaties

.

Unauthor

i

zed reproduction or d

i

str

i

but

i

on of this A

J

A

®

Document

,

or any

1

portion of it, may result in severe civ

i

l and criminal penalties

,

and w

i

ll be prosecuted to the maximum extent possible under the law

.

This document

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