| 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: NAME
OF PROJECT (if applicable): TYPE
OF WORK (file separate form for each Classification of Work):
| XX General
Construction | HVAC |
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| Plumbing | Electrical |
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| Other
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| (please
specify) | |
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| 1. |
ORGANIZATION |
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1.1 |
How
many years has your organization been in business as a
Contractor? |
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June
1983 to present |
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1.2 |
How
many years has your organization been in business under
its present business name? |
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June
1983 to present |
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1.2.1 |
Under
what other or former names has your organization operated? |
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N/A
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1.3 |
If
your organization is a corporation, answer the following |
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1.3.1 |
Date
of Incorporation: |
9/23/83 |
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1.3.2 |
State
of Incorporation: |
California |
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1.3.3 |
President's
Name: |
Michael
E. Strain |
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1.3.4 |
Vice
President's Name(s): |
Michael
E. Strain |
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1.3.5 |
Secretary's
Name: |
Michael
E. Strain |
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1.3.6 |
Treasurer's
Name: |
Michael
E. Strain |
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1.4 |
If
your organization is a partnership, answer the following: |
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1.4.1 |
Date
of Organization: |
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1.4.2 |
Type
of Partnership (if applicable): |
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1.4.3 |
Name(s)
of General Partner(s): |
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N/A
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1.5 |
If
your organization is individually owned, answer the following: |
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1.5.1 |
Date
of Organization: |
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1.5.2 |
Name
of Owner: |
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N/A
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1.6 |
If
the form of your organization is other than those
listed above, describe it and name the
principals: |
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N/A |
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| 2. |
LICENSING |
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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: |
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Arizona#B1
088013-000 |
OklahomaRegistered |
Kentucky |
New
York |
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California#450395 |
IdahoRegistered |
Louisiana |
Ohio |
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Hawaii#BC
16721 |
TexasRegistered |
Maine |
Pennsylvania |
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Oregon#70541 |
Connecticut |
Maryland |
South
Carolina |
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Washington#113D3 |
Delaware |
Michigan |
Wyoming |
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Wisconsin#SO39199 |
Illinois |
Missouri |
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Nevada#B
0030488 |
Indiana |
Montana |
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Utah#457900 |
Iowa |
Nebraska |
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New
Mexico#051364 |
Kansas |
New
Hampshire |
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2.2 |
List
jurisdictions in which your organization's partnership
or trade name is filed: |
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N/A |
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| 3. |
EXPERIENCE |
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3.1 |
List
the categories of work that your organization normally
performs with its own forces: |
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Supervision.
We will also provide, on an as-needed basis, Drywall,
Demolition, Carpentry,
Flooring, and Wallcovering. |
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3.2 |
Claims
and Suits. (If the answer to any of the questions
below is yes, please attach details.) |
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3.2.1 |
Has
your organization ever failed to complete any work
awarded to it? |
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NO |
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3.2.2 |
Are
there any judgments, claims, arbitration proceedings
or suits pending or outstanding
against your organization or its officers? |
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NO |
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3.2.3 |
Has
your organization filed any law suits or requested
arbitration with regard to construction
contracts within the last five years? |
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NO |
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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.) |
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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: |
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Furnished
upon Request |
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3.4.1 |
State
total worth or work in progress and under contract: |
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Furnished
upon Request |
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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: |
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3.5.1 |
State
average annual amount of construction work performed during
the past five years: |
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$3,250,000.00 |
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3.6 |
On
a separate sheet, list the construction experience and
present commitments of the key indivi-
duals
of your organization: |
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See
Attached Partial List of Completed Projects |
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| 4. |
REFERENCES: |
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4.1 |
Trade
References: |
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Rancho
Reprographics Co.
41750 Winchester Road, Suite I
Temecula, CA 92590 |
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4.2 |
Bank
References: |
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California
Federal Bank
845 S. Main
Fallbrook, CA 92028
Account #3894007008 |
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4.3 |
Surety: |
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4.3.1 |
Name
of bonding company: |
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Amwest
Surety Insurance Company
2445 5th Ave., Suite 220
San Diego, CA 92101 |
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4.3.2 |
Name
and address of agent: |
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Teague
Insurance Agency, Inc.
5550 Baltimore Dr., Suite 100
La Mesa, CA 91942 |
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| 5. |
FINANCING |
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5.1 |
Financial
Statement: |
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5.1.1 |
Attach
a financial statement, preferably audited, including your
organization's latest
balance sheet and income statement showing the following
items: |
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Available
upon Request |
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5.1.2 |
Name
and address of firm preparing attached financial statement
and date thereof: |
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Donald
McLean & Co. Certified Public Accountant |
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5.1.3 |
Is
the attached financial statement for the identical organization
named on page one? |
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Yes |
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5.1.4 |
If
not, explain the relationship and financial responsibility
of the organization whose
financial statement is provided (e.g., parent-subsidiary): |
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5.2 |
Will
the organization whose financial statement is attached
act as guarantor of the contract for
construction? |
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Yes |
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©
Copyright 2000
MSB, Inc.
All Rights Reserved
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