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~~ ` .~. ® Till <br />Document A305 -1986 <br />Contractor's Qualifrcafion Statement <br />The Undersigned certifies under oath that the information provided herein is true and <br />sufficiently complete sc.> as not to be misleading. <br />SUBMITTED TO: <br />(Paragraphs clelc fed) <br />Cabanvs County Commissioners <br />6S Church Street N; Concord, NC 28{)25 <br />SUBMITTED BY: Ike's Construction, tnc. <br />NAME: 7eFf Isenhour <br />ADDRESS: 2319 Concord i_ake Road; Concord, NC 28025 <br />PRINCIPAL OFFICE: 2319 Concord Lake Road; Concord, NC 28025 <br />[X ] Corporation <br />] Parutership <br />[ ] Individual <br />[ ] Joint Venture <br />[ ] Other <br />NAME OF PROJECT (if ahptrcahle): <br />Alterations,to.Cabarrtis County Courthouse <br />TYPE OF WORK (file separate form for each Classirtcation of Work); <br />[ X ]General Construction <br />[ ] HVAC <br />[ ] Electrical <br />] Plumbing <br />[ ] Other (please specify) <br />§ 1, ORGANIZATION <br />§ 1.1 How many years has your organization been in business as a Contractor? 37 <br />§ 1.2 How many years has your organization been in business under its present business <br />name? 5 <br />ADDITIONS AND DELETIONS: <br />The author of this document has <br />added inforrnation needed for its <br />completion. The author may also <br />have revised the text of the original <br />AIA standard form. An Additions and <br />Deletions Report that notes added <br />information as well as revisions to <br />the standard form text is available <br />trom the author and should be <br />reviewed. A vertical line in the left <br />margin of this document Indicates <br />where the author has added <br />necessary information and where <br />the author has added to or deleted <br />from the original AIA text. <br />This document has important legal <br />consequences. Consultation with an <br />attorney Is encouraged with respect <br />to its completion or modification. <br />This form is approved and <br />recommended by the American <br />Institute of Architects (AIA) and The <br />Associated General Contractors of <br />America {AGC) for use in evaluating <br />the qualifications of contractors. No <br />endorsement of the submitting party <br />or verification of the information is <br />made by AIA or AGC. <br />§ 1.2,1 Under what other or former names has your organization operated? <br />Ike's Realty & Construction, Inc. <br />1 § 1.3 If your organization is a corporation, answer the following: <br />§ 1.3.1 Date of incorporation: 8/22/1979 <br />§ 1.3.2 State of incorporation: North Carolina <br />AIA [locument A305T"^ -1986. Copyright ©1964, 1969, 1979 and 1966 by The American Enstitute of Architects. Ail rights reserved. WARNING: This AIA" <br />nocument is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA' Document, or any ~ <br />portion of it, may result in severe civil and criminal pen:+itfes, and will be prosecuted to the maximum extent possible under the law. This document <br />was produced by AIA software at 07:S1:D4 on 05/13/2009 under Order No.1000394386_1 which expires on 4/712010, and is not for resale. <br />User Notes: (675934056) <br />Attachment number 4 <br />G-10 Page 560 of 627 <br />