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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. Evan Rosenblatt
PE
BB
Enterprises
7900 Glades Road
/
Suite 600
B
oca Raton, FL 33434
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 OFFICE:
Same as 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.
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