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PART II <br />(For projects of $150,000 or more —IC 36-1-12-4) <br />These statements to be submitted under oath by each bidder with and as a part of his bid. (Attach <br />additional pages for each section as needed.) <br />SECTION I EXPERIENCE QUESTIONNAIRE <br />1. What public works projects has your organization completed for the period of one (1) <br />year nrior to the date of the current bid? <br />Contract Amount <br />Class of Work <br />Completion <br />Name and Address of Owner <br />( j ()0 0 <br />2AQ yyZ <br />Date <br />6f9Tr <br />J n 00 4 <br />Ls <br />7- What public works projects are now in process of construction by your organization? <br />Contract Amount <br />Class of Work <br />Completion <br />Date <br />Name and Address of Owner <br />eS- � <br />mood <br />zaI v�-2n19 <br />/' C y�f yfr� <br />3. Have you ever failed to complete any work awarded to you?If so, where and <br />wiry? <br />4. List references from private firms for which you have performed work. <br />V 11 O-t <br />G of l 1 �C& <br />TSC 217120 Bid Form Section 00 3100-5 <br />