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MA Document A305 <br />Contractor's [qualification Statement <br />1986 EDITION <br />This form is approved and recommended by the American Institute of Architects <br />(AIA) and The Associated General Contractors of America (AGC) for use in <br />evaluating the qualifications of contractors. No endorsement of the submitting <br />party or verification of the information is made by the AIA or AGC <br />The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so <br />as not to be misleading. <br />SUBMITTED TO: <br />City of South Bend, IN <br />Department of Public Works <br />ADDRESS: <br />227 W Jefferson Blvd <br />South Bend, IN <br />SUBMITTED BY: <br />NAME: <br />Gibson -Lewis, LLC <br />ADDRESS: <br />1001 W. 11th Street <br />Mishawaka, IN 46544 <br />PRINCIPAL OFFICE: <br />NAME OF PROJECT: Fire Station #8 Replacement -Project 4122-034 <br />TYPE OF WORK: <br />X General Construction <br />Plumbing <br />Other <br />(Please specify) <br />Corporation <br />12 <br />Partnership <br />El <br />Individual <br />11 <br />Joint Venture <br />❑ <br />Other <br />Limited Liability Company <br />HVAC <br />Electrical <br />C'a rl it 1964, 1969. 01986 b The American Institute of Arehilccts, 1735 New York Aveslue. NX Washin ton, <br />penmssiO0 o <br />the AIA violates the copyright laws of the United States and will be subject to legal prosecution. <br />AIA DOCUMENT A305 - CONTRACTOR'S QUALIFICATION STATEMENT 1 1986 EDITION • AIAI1 - 01986 <br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 N8W YORK AVENUE, N.W. WASHTNGTON, D.C. 20006 A305-1986 1 <br />