Read DPMC 701 03_05 text version

State of New Jersey

DEPARTMENT OF THE TREASURY DIVISION OF PROPERTY MANAGEMENT AND CONSTRUCTION 33 W. STATE STREET PO BOX 034 TRENTON, NEW JERSEY 08625-0042 REPLY TO: TEL: (609) 943-3400 FAX: (609) 984-8495

TOTAL AMOUNT OF UNCOMPLETED CONTRACTS

(This form is to be used with the NOTICE OF CLASSIFICATION when submitting bids to the Department of Education.) I Certify that the amount of uncompleted work on contracts is $ ________________________ . The amount claimed includes uncompleted portions of all currently held contracts from all sources (public and private) in accordance with N.J.A.C. 1 7:19-2.13. I further certify that the amount of this bid proposal, including all outstanding incomplete contracts does not exceed my prequalification dollar limit.

Respectfully submitted,

Affix corporate seal here

By _____________________________________

Name of Firm

_______________________________________________________ Signa ture

________________________________________________________ Title

Sworn to and subscribed be fore me This day of 20 Notary Public

______________________________________________________ Busines s Address

_____________________________________________________

______________________________________________________

______________________________________________________ Phone

DPMC 701 (3/05)

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DPMC 701 03_05

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DPMC 701 03_05