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0 KMOCK.1QOwN.cem <br />I4 <br />DEMO-_ITION SERVICES DBE/WBE/FBE certified <br />PREQUALIFICATION ATTACHMENTS <br />(i) See attached Secretary of State's online records (Business Verification) <br />See attached Alpine Demolition Services, LLC as verified to conduct business in the state <br />of Indiana <br />(ii) List all identifying all former business names. <br />No, N/A <br />(iii) Any determinations by a court or governmental agency any violations of federal state, or local <br />laws including, but not limited to , violations of contracting or antitrust laws, tax, or licensing laws, <br />environmental laws, Occupational Safety and Health Act (OSHA), or Federal Davis -Beacon and related <br />Acts, within the preceding five (5) years. <br />NONE <br />(iv) Statement about staffing capabilities, including labor sources. This statement indicates and ensures I <br />have sufficient employees on staff to complete the work I am bidding on OR outlines how I intend to <br />meet the staffing needs of the work. <br />Alpine Demolition has a full demolition trained union staff on average of 50 Laborers and <br />12 Operators <br />(v) Any individuals who will perform work on the public work project on Alpine Demolition's behalf be <br />properly classified as an employee or as an independent contractor under all applicable state and federal <br />laws and local ordinances. <br />(vi) For every project, submit evidence of participation in apprenticeship and training programs, applicable <br />to the work to be performed on the project, which are approved by and registered with the United <br />Department of Labor's Office of Apprenticeship, or its successor organization <br />See attached Laborer's & Operators Apprenticeship Documentation <br />(vii) Copy of a written plan for employee drug testing that covers all of my employees who will perform <br />work on the public work project and meets or exceeds the requirements set forth in IC 4-13-18-5 or <br />IC 4-13-18-6 <br />See attached example <br />(viii) Evidence I am utilizing a surety company which is on the Bureau of Fiscal Service <br />"Department of Treasury's Listing of Approved Sureties" as required in the bid specifications <br />or contract. <br />See attached <br />3515 Stern Ave. x St. Charles, IL 60174 & Ph: 630.761.0700 4 Fx: 630.761.0777 . www,knockitdown.com <br />