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 T   H   E      A   M   E   R   I   C   A   N      I   N   S   T   I   T   U   T   E      O   F      A   R   C   H   I   T   E   C   T   S


 


AIA DOCUMENT A305

CONTRACTOR'S QUALIFICATION STATEMENT
1986 EDITION

This form is approved and recommended by The American 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 the AIA or AGC.


The Undersigned certifies under oath that the information provided herein is true and suffi-
ciently complete so as not to be misleading.

SUBMITTED TO:

ADDRESS:

SUBMITTED BY:Corporation             X
NAME:MSB, INC. Partnership            
ADDRESS:30665 Old Highway 395
Escondido, CA 92026
Individual                

PRINCIPAL OFFICE:
Joint Venture         
Other                      

 

NAME OF PROJECT (if applicable):

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

    XX    General Construction              HVAC
             Plumbing             Electrical
             Other                                                    
                              (please specify)

 


1. ORGANIZATION
     
  1.1 How many years has your organization been in business as a Contractor?
     
      June 1983 to present
     
  1.2 How many years has your organization been in business under its present business name?
     
      June 1983 to present
     
    1.2.1 Under what other or former names has your organization operated?
     
     

N/A

     
  1.3 If your organization is a corporation, answer the following
    1.3.1 Date of Incorporation: 9/23/83
    1.3.2 State of Incorporation: California
    1.3.3 President's Name: Michael E. Strain
    1.3.4 Vice President's Name(s): Michael E. Strain
    1.3.5 Secretary's Name: Michael E. Strain
    1.3.6 Treasurer's Name: Michael E. Strain
     
  1.4 If your organization is a partnership, answer the following:
    1.4.1 Date of Organization:
    1.4.2 Type of Partnership (if applicable):
    1.4.3 Name(s) of General Partner(s):
     
     

N/A

     
  1.5 If your organization is individually owned, answer the following:
    1.5.1 Date of Organization:
    1.5.2 Name of Owner:
     
     

N/A

     
     

  1.6 If the form of your organization is other than those listed above, describe it and name the
          principals:
     
      N/A
     
2. LICENSING
       
  2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business
          and indicate registration or license numbers, if applicable:
     
      Arizona—#B1 088013-000 Oklahoma—Registered Kentucky New York
      California—#450395 Idaho—Registered Louisiana Ohio
      Hawaii—#BC 16721 Texas—Registered Maine Pennsylvania
      Oregon—#70541 Connecticut Maryland South Carolina
      Washington—#113D3 Delaware Michigan Wyoming
      Wisconsin—#SO39199 Illinois Missouri  
      Nevada—#B 0030488 Indiana Montana  
      Utah—#457900 Iowa Nebraska  
      New Mexico—#051364 Kansas New Hampshire  
             
  2.2 List jurisdictions in which your organization's partnership or trade name is filed:
     
      N/A      
       
3. EXPERIENCE
       
  3.1 List the categories of work that your organization normally performs with its own forces:
       
      Supervision. We will also provide, on an as-needed basis, Drywall, Demolition, Carpentry,
Flooring, and Wallcovering.
     
  3.2 Claims and Suits. (If the answer to any of the questions below is yes, please attach details.)
       
    3.2.1 Has your organization ever failed to complete any work awarded to it?
      NO
       
    3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding
against your organization or its officers?
      NO
     
     3.2.3 Has your organization filed any law suits or requested arbitration with regard to construction
contracts within the last five years?
      NO
       
  3.3 Within the last five years, has any officer or principal of your organization ever been an officer or
principal of another organization when it failed to complete a construction contract? (If the answer is
yes, please attach details.)
      NO
       
       
       
       

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  3.4 On a separate sheet, list major construction projects your organization has in progress, giving the
          name of project, owner, architect, contract amount, percent complete, and scheduled completion
          date:
     
      Furnished upon Request
     
     3.4.1 State total worth or work in progress and under contract:
     
      Furnished upon Request  
         
  3.5 On a separate sheet, list the major projects your organization has completed in the past five years,
          giving the name of project, owner, architect, contract amount, date of completion, and percentage of
          the cost of the work performed with your own forces:
         
    3.5.1 State average annual amount of construction work performed during the past five years:
         
      $3,250,000.00  
         
         
   3.6  On a separate sheet, list the construction experience and present commitments of the key indivi-
          duals of your organization:
     
      See Attached Partial List of Completed Projects
       
4. REFERENCES:
       
  4.1 Trade References:
       
      Rancho Reprographics Co.
41750 Winchester Road, Suite I
Temecula, CA 92590
     
  4.2 Bank References:
       
      California Federal Bank
845 S. Main
Fallbrook, CA 92028
Account #3894007008
       
  4.3 Surety:
     
    4.3.1 Name of bonding company:
       
      Amwest Surety Insurance Company
2445 5th Ave., Suite 220
San Diego, CA 92101
       
    4.3.2 Name and address of agent:
       
      Teague Insurance Agency, Inc.
5550 Baltimore Dr., Suite 100
La Mesa, CA 91942
       

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5.  FINANCING
       
   5.1 Financial Statement:
       
    5.1.1 Attach a financial statement, preferably audited, including your organization's latest
balance sheet and income statement showing the following items:
       
      Available upon Request
       
  5.1.2 Name and address of firm preparing attached financial statement and date thereof:
     
      Donald McLean & Co. Certified Public Accountant
       
    5.1.3 Is the attached financial statement for the identical organization named on page one?
       
      Yes
       
    5.1.4 If not, explain the relationship and financial responsibility of the organization whose
financial statement is provided (e.g., parent-subsidiary):
       
       
  5.2 Will the organization whose financial statement is attached act as guarantor of the contract for
              construction?
       
      Yes
       

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 © Copyright 2000
MSB, Inc.
All Rights Reserved