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State of North Carolina <br />Prequalification for Single Prime Contractors <br />State /Public Agency <br />Project Name <br />Dollar Value <br />Owner Agency <br />Contact Info <br />Architect <br />Contact Info <br />Scheduled - Actual <br />Completion Date <br />2. a. (5) Has your organization been pre - qualified to bid on a State agency /institution project and failed to submit a bid <br />without notice of good cause a minimum of one day before bid date? LJ Yes LJ No If yes, on a separate sheet list name of <br />project and reason you did not submit a bid. <br />Office Locations <br />2. b. Will this project be managed and directed from an office in NC? An office in NC is defined as "The principal place <br />from which the trade or business of the bidder is directed or managed," per GS 143 -59 (c). LJ Yes LJ No <br />Workload <br />2. c. (1) How many projects do you currently have under contract or in progress and what is their total dollar value? <br />• ( #) of projects <br />• $ (Current projects contract amount) <br />• $ (Projects current amount remaining to bill) <br />2. c. (2) List the three biggest contracts currently under contract or in progress, including for each, the name of the <br />project, owner and architect names and phone numbers, contract dollar values, percentage complete and currently <br />anticipated completion dates. <br />#1— Project Name <br />Description of Work Performed <br />Owner Name/ Representative <br />Owner Address /Phone # /Email <br />Architect Name /Representative <br />Architect Address /Phone # /Email <br />Prequalification_Form_03 -01 -11 5 of 12 <br />Attachment number <br />F -1 Page 80 <br />