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ALA Document A305 <br />ornirsctor's Ilr�si icst"on 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: City of South Bend <br />227 west effi rson Blvd <br />ADDRESS: <br />. <br />South Bend, IN 46601 <br />Corporation <br />SUBMITTED BY: <br />Partnership <br />Gibson -Lewis, LLC <br />NAME: <br />Individual <br />ADDRESS: <br />1001 W. 11th Street <br />Joint Venture <br />Mishawaka, IN 46544 <br />Other <br />PRINCIPAL OFFICE: <br />Limited Liability Company <br />NAME OF PROJECT: Morris Theater Plaster Repair <br />TYPE OF WORK: <br />X General Construction HVAC <br />Plumbing Electrical <br />Other <br />(Please specify) <br />t 064, 1969, 01986 by The American Institute of Pird lrecls, 1735 New York Aw�tt sm, N.W. Wadlin rtoo, <br />Co w ri' rI ", tYiproalxattwt ct ark 4lte nnr tl ream or air ayI taautr ricyNrtrttrltiaap in tt�naw°aw°E s Baas wv t otlt Written lacrnrlission ol- <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 • 1986 EDITION • AlAra • 01986 <br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NF W YORK AVENUE, N.W. W ASHINGTON, D.C. 20006 A305-1986 1 <br />