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PrAIA A3O5TM Document A30 --1986 Contractor's Qualification Statement The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading. SUBMITTED TO: Grant Riemer ADDRESS: City of Ramsey, 7550 Sunwood Drive NW, Ramsey, MN 55303 SUBMITTED BY: RJM Construction NAME: Brad Barickman ADDRESS: 830 Boone Avenue North, Golden Valley, MN 55427 PRINCIPAL OFFICE: X Corporation Partnership Individual Joint Venture Other NAME OF PROJECT: (if applicable) City of Ramsey Public Works and Fleet Maintenance Facility TYPE OF WORK: (file separate form for each Classification of Work) [ X ] General Construction [ ] HVAC [ ] Electrical [ ] Plumbing [ ] Other: (Specify) § 1 ORGANIZATION § 1.1 How many years has your organization been in business as a Contractor? 37 § 1.2 How many years has your organization been in business under its present business name? 21 § 1.2.1 Under what other or former names has your organization operated? RJM Construction Inc., United Properties Construction Services § 1.3 If your organization is a corporation, answer the following: § 1.3.1 Date of incorporation: NA ADDITIONS AND DELETIONS: The author of this document has added information needed for its completion. The author may also have revised the text of the original AIA standard form. An Additions and Deletions Report that notes added information as well as revisions to the standard form text is available from the author and should be reviewed. A vertical line in the left margin of this document indicates where the author has added necessary information and where the author has added to or deleted from the original AIA text. This document has important legal consequences. Consultation with an attorney is encouraged with respect to its completion or modification. This form is approved and recommended by the American Institute of Architects (AIA) and The Associated General Contractors of America (AGC) for use in evaluating the qualifications of contractors. No endorsement of the submitting party or verification of the information is made by AIA or AGC. AIA Document A305TM — 1986. Copyright © 1964, 1969, 1979 and 1986 byThe American Institute of Architects. All rights reserved. WARNING: This AIA® Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This dacumenl was produced by AIA software at 09:28:35 ET on 08/08/2019 under Order No 6898725545 which expires on 08/08/2020, and is not for resale. User Notes: (863383372)