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i <br /> CITY OF EVERETT PUBLIC WORKS DOCUMENT 00 45 13 <br /> SPECIAL PROVISIONS BIDDER QUALIFICATION STATEMENT <br /> NAME TITLE PHONE EMAIL <br /> 1) <br /> 2) ' <br /> 3) <br /> 4) <br /> 5) <br /> 5. The Supplementary Instructions to Bidders (DOCUMENT 002213) states that the <br /> Bidder's project manager for the Project must have successfully supervised the <br /> completion of at least 3 Similar Projects within 5 years prior to bid opening. The Bidder <br /> may count Similar Projects successfully completed by its Tieback Subcontractor's project <br /> manager for the Project to fulfill this requirement. List the the project manager's name <br /> and projects that show this experience. <br /> a. Name of project manager: , <br /> PROJECT NAME YEAR OWNER LOCATION QUANTITY <br /> 1) 1 <br /> 2) <br /> 3) i <br /> 4) <br /> 5) <br /> 6. Furnish references for information concerning all work listed above. ' <br /> NAME TITLE PHONE EMAIL <br /> 1) 1 <br /> 2) <br /> 3) <br /> 4) <br /> 5) <br /> 7. The Supplementary Instructions to Bidders (DOCUMENT 002213) states that the ' <br /> Bidder's on-site supervisor for the Project must have successfully supervised the <br /> completion of at least 3 Similar Projects within 5 years prior to bid opening. The Bidder <br /> may count Similar Projects successfully completed by its Tieback Subcontractor's on-site <br /> supervisor for the Project to fulfill this requirement. List the on-site supervisor's name <br /> and projects that show this experience. <br /> a. Name of on-site supervisor: ' <br /> PSO6 REROUTE 004513 -2 <br /> WO NO.—UP3583 MAY 2016 <br /> 1 <br />