J. Raymond Construction - Sprouts Farmers Market

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.

ADDITIONS AND DELETIONS:

SUBMITTED TO: Mr. D arren K endig Sprouts Farmers Market 5455 East High Street, Suite 111

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. 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. This form is approved and recommended by the American

Phoenix, A Z 85054

SUBMITTED BY: J. Raymond Construction Corp.

NAME: Paul Graham

ADDRESS: 465 W. Warren Ave Longwood, FL 32750 Phone 407-862-6966 Fax 407-571-3596

PRINCIPAL OFFICE: Same as above.

] Corporation

[ X

J Partnership

[

J Individual J Joint Venture J Other

[

NAME OF PROJECT (ifapplicable):

TYPE OF WORK (file separate form for each Classification ofWork):

] General Construction ]HVAC J Electrical J Plumbing ]Other (please specify)

X

§ 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?

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 was produced by AIA software at 16:41:48 on 09/02/2015 under Order No.0657456901_1 which expires on 04/10/2016, and is not for resale. User Notes: (1634102349)