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<br />Page 1 of 3 <br /> <br />RFP - QUESTIONNAIRE <br /> <br />Complete the following and include in the proposal as required: <br /> <br />A. Proposer <br /> <br />1. Name: ~~t-JtJ'~ ~bStAPnJG.. 1rJe.... <br />, <br /> <br />2. Local Address: tbC,o 1>E/..A~ D~H~t> ~ <br />~ C-t1Y) 1l:xA4) 11~13 <br /> <br />3. Home office address (if other than above): <br /> <br />4. Phone No: 2..81 - 33'2..- 4t. S') <br /> <br />Fax No: ~... 3~L.- 1573 <br /> <br />i 61<S <br /> <br />, <br /> <br />9. Is proposer also the manufacturer's service representative? 'A 0 <br />10. If no, does manufacturer have a local service representative? y~s <br />a. Name: C- ~~ ~M.lLt! -- fA \A- \~ IN t\OT1~ <br />\ <br /> <br />b. Address:1534- l1~ ~ ~~ H\.H'\el€) T~.11734G, <br /> <br /> <br />c. Phone No: WI -114-~ ~$"b Fax No.:~4- <br /> <br /> <br />11. Has proposer ever defaulted on a similar project as required by this RFP? No <br /> <br />If so, please explain: <br /> <br />Page 23 of 30 <br />