WPC' Q݉S6Q5?fL c&<AXSGg\|L4S&Ƞ9&s,3pZt!JY$mh15[$Pi|iآ'>(v^{i">!DvuE`[ ,l5GSH~6l\~f `hLq !9` *2?˽^雙7&R3]K&K3 6zV}gtݿ_% v ۟ڤM*۵JrS`  _G̔C"UFǞ*8LQ]o2.jQI(BlVA&YC`V ERQg;đOsXIʺ Q#f[ >+mڮlg^$ot)H׹ xZo_29Sq i>4CU'N % 0(6#> 0 0 0 w 4  m 0  0D[ E N 0 0^ d 0p 0L 0% 0 0 0 0 0Y 0) 0 0 0 0K 0& 0 0 0 0t B@ 0] 0& 0 0n 0`! 0 }! 1eu" 7"f" 1u" 72_#a##k$1%%&f'a'''f'a'f''a'3|xx9 Z6Times New Roman RegularX($ HP LaserJet 5P,,,,,,02G+J 0_level1  X /%4 4 <DL/23  ..  2( 4 <DL2  2D+J 0_level2   ," <DL,23  ..  2( 4 <DL2  2A+J 0_level3   ) <DL)23  ..  2( 4 <DL2  N*U2>+J 0_level4  ` &<<DL&23  ..  2( 4 <DL2   { '  _XXBestPracticesProcurementManualAppendixB.17^ԀExampleofStatementofQualificationofSubcontractor#^{#J 0_levsl4  ` &<<DL&23  Ԁ  2( 4 <DL2  2;J 0_levsl5   #DL#23  Ԁ  2( 4 <DL2  28J 0_levsl6    DL 23  Ԁ  2( 4 <DL2  25J 0_levsl7  h DDL23  Ԁ  2( 4 <DL2  22J 0_levsl8   L23  Ԁ  2( 4 <DL2  2/J 0_levsl9    L23  Ԁ  2( 4 <DL2  2GJ 0_levnl1  X /%4 4 <DL/23   2( 4 <DL2  2DJ 0_levnl2   ," <DL,23   2( 4 <DL2  2AJ 0_levnl3   ) <DL)23   2( 4 <DL2  2>J 0_levnl4  ` &<<DL&23   2( 4 <DL2  2;J 0_levnl5   #DL#23   2( 4 <DL2  28J 0_levnl6    DL 23   2( 4 <DL2   d25J 0_levnl7  h DDL23   2( 4 <DL2  22J 0_levnl8   L23   2( 4 <DL2  2/J 0_levnl9    L23   2( 4 <DL2  <:Default ParaXXXXXX.,Title        <G+J :Outline001_1  X /%4 4 <DL/23  ..  2( 4 <DL2  ........(35;AGMSY_11.1.1.1.1.1.1.1./.1.3#37=CIQYag1.a.i.(1)(a)(i)1)a)2i)TABLE ALevel 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5TABLE ATABLE ATABLE B !  _X  APPENDIXB.17 O EXAMPLEOFSTATEMENTOFQUALIFICATIONOFSUBCONTRACTOR   FROMNEWYORKCITYTRANSITAUTHORITY-   ENGINEERINGANDCONSTRUCTIONDEPARTMENT      ThestatementshereinareconfidentialandmadesolelyfortheinformationoftheNewYorkCity p  TransitAuthorityinconnectionwiththeproposedsubcontractwith `  A() xdE~xA 0  >XXNameofGeneralContractor ?  XWX>A() xdExA o #>XXW#Address0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#City0p(#(#0p(#p(#0 (#(#State,!,!C(# (# (#ZipCode ~ XWX>UnderitsgeneralContractNo.__________________withtheNewYorkCityTransitAuthority. ^   GENERALINFORMATION  }. 1.0  Nameofproposedsubcontractor:____________________________________________](#(# 2.  Address:________________________________________________________________ = >XXW0  (Principaloffice)Address0(#(#0h(#(#0h(#h(#0(#(#City0p(#(#0p(#p(#0 (#(#State,!,!C(# (# (#ZipCode - XWX>3.  Ifacorporation:   0 h 0h(#h(#0(#(# Ifapartnership: n(#(#   WhenIncorporated  _______________  DateofOrganization  __________________  ^    Vice-President'sname_______________  Namesandaddressesofpartners________ !N!   Secretary'sname  _______________  ____________________________________ ">"   Treasurer's_name_  _______________  ____________________________________ }#.#   4.0  Descriptionofworktobedoneunderproposedsubcontract.Indicateclearlywhetherwork ]%% involveslaboronlyorlaborandmaterial.Listprincipalitemsofmaterials,ifanyto M&& befurnished.XXW=' '(#(# 0  #XWX( #________________________________________________________________________,G,XXW-(!((#(# 0  #XWX,,G #________________________________________________________________________,G,XXW)F#*(#(# 0  #XWX,,G #________________________________________________________________________*$,(#(# 5.0  Totalamountofproposedsubcontract:$_________________________________________ ,&.(#(# X  EXPERIENCE ,G,XXW O   #XWX,,G#6.0  Howmanyyearsofexperience?_____________________________________________h(#(# 7.0  Give,briefly,previousexperienceofdirectingofficersincludingchiefengineerand  H generalsuperintendentonsimilarwork. 8(#(# *1(4ddd Xdd Xdd X(#(#, , , , , +  (w (w ( $(>XXWNAME ' L" 'PRESENT  L POSITION ';  " 'YRS.OF  L  CONSTRUCTION ;   EXPERIENCE '  " 'MAGNITUDEAND  L  TYPEOFWORK '; " 'WHAT  L CAPACITY (; " $0 (   t    t    t    t   t 0   \   \   \   \  \ 0   D    D    D    D   D  0   {,    {, !   {, "   {, # {, $ 0  #XWX>#>XXW  #XWX>#8.0  Listprincipalcontractscompletedbypresentorganization. %(#(# *:(;dd     1(4(#(#, , , , , +  ( &  $(>XXWLOCATION ' '" 'CONTRACT  ( PRICE 'P )" 'CLASSOF  * WORK 'P +" 'PERCENT  , COMPLETED 'P -" 'NAMEANDADDRESSOFAWARDING  . PARTY (P /" $0 (  80   81   82   83  84 0   o 5   o 6   o 7   o 8  o 9 0   W:   W;   W<   W=  W> 0   ??   ?@   ?A   ?B ?C 0  #XWX>#>XXW#XWX>/#9.0  Listcontracts,ifany,thatpresentorganizationhasonhand.`D(#(# *@(Bdd     :(;(#(#_, , , , , +  (PEP $(>XXWLOCATION 'tF" 'CONTRACT tG PRICE 'cH" 'CLASSOF tI WORK 'cJ" 'PERCENT tK COMPLETED 'cL" 'NAMEANDADDRESSOFAWARDING tM PARTY (cN" $0 (  KO   KP   KQ   KR  KS 0   3T   3U   3V   3W  3X 0   Y   Z   [   \  ] 0   ^   _   `   a b 0  #XWX>^#10.0  Givereferencesofatleasttwoengineersorarchitectsforwhompresentorganizationhas s$c donesimilarwork.c d(#(# >XXW*>(?dd     @(B(#(#, , , ,e +  (S!eS! $(#XWX> #>XXWNAME 'w!(f" 'TELEPHONE w!(g NUMBER '"h" 'ADDRESS 'w!(i" 'POSITION (w!(j" $0 (  "k   "l   "m  "n 0   #o   #p   #q  #r 0   $s   $t   $u  $v 0   %hw   %hx   %hy %hz 0  #XWX>"#>XXW#XWX>$#11.0  Laboremployedthrough___________________________________________________>XXW'' {(#(# #XWX>G%#12.0  Giveanysupplementalinformationthattheundersigneddesirestosubmit.(h"}(#(# 0  ________________________________________________________________________)X#~(#(# 0  ________________________________________________________________________>XXW*H$(#(#   #XWX>&#TheundersignedagreestofurnishtheNewYorkCityTransitAuthorityadditionalor ',% supplementalinformationconcerningitsfinancialand/ortechnicalqualifications,whenandas -& required. .' ___________________________________________0 p 0p(#p(#0 (#(#__________________/) (# (# >XXWName0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#0p(#p(#0 (#(#Date