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§ 1,3.3 President's name: Jeffery S. Isenour § i.3.4Vtce-president's name(s) Andrew P. Messmer § 1.3.5 Secretary's name: Judy S. Isenhour § 1.3.6 Treasurer's name: Alvie L. Isenhour § 1.4 If your organization is a partnership, answer the following: § 1.4.1 Date of organization: § 1.4.2 Type of partnership (if applicable): § 1.4.3 Name(s) of general partner(s) § 1.5 II' your organization is individually owned, answer the following: § 1.5.1 bate of organization: § 1.5.2 Name of owner: § 1.6 If the form of your organization is other than those listed above, describe it and name the principals: § 2. LICENSING § 2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable. North Carolina Unlimited & Unclassified Building Contractor License #8037 § 2.2 List jurisdictions in which your organization's partnership or trade name is filed. lYorlh Carolina § 3. EXPERIENCE § 3.1 List the categories of work that your organization normally performs with its own Forces. General Conditions. Sitework, Concrete preparation, Woods & Plastics, Doors & Windows, Specialties § 3.2 Claims and Suits. (If rite answer to any of the questions below is yes, please attach details.) § 3.2.1 Has your organization ever failed to complete any work awarded to it? NO § 3.2.2 Are (here any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? NO § 3.2.3 Has your organization tiled any law suits or requested arbitration with regard to construction contracts within the last five years? NO § 3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when it tailed to complete a construction contract? (If the answer is yes, please attach details.) AIA Document A305'M - t986. Copyright ®t964, 1969, 1979 and 1986 by The American institute of Architects. All rights reserved. WARNING: This AIA°" Document is protected by U,S. Copyright Law and international Treaties. l)nauthorized reproduction or distribution o1 this AIA'° Document, or any portion o1 i[, may result in severe civil and criminal penalties, and wilt be prosecuted to the maximum extent passitrle under the taw. This document was produced by AIA software at 07:51:04 on 05/13/2009 under Order No.1000394386 1 which expires on 4/712010, and is not for resale. User Notes: - (675934056) Attachment number 4 G-10 Page 561 of 627