AIA Document A305
 

Contractor's Qualification Statement
1986 EDITION
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 the AlA or AGCThe Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.

The Undersigned certifies under oath that the information provided herein is true and sufficiently complete so as not to be misleading.

SUBMITTED TO: 

ADDRESS:

SUBMITTED BY:

NAME:

ADDRESS:

PRINCIPAL OFFICE:

NAME OF PROJECT (if applicable):

TYPE OF WORK (file separate form for each Classification of Work):

 x  General Construction

HVAC

Plumbing

Electrical

 Other:

1. ORGANIZATION

1.1 How many years has your organization been in business as a Contractor?

Eighteen Years  

1.2 How many years has your organization been in business under its present business name?

Thirteen Years

1.2.1 Under what other or former names has your organization operated?

  Carnaggio Construction, Inc.

1.3 If your organization is a corporation, answer the following:

1.3.1 Date of incorporation:  February 13, 2001   

1.3.2 State of incorporation:  Maryland

1.3.3 President's name:

Stephen Dominic Carnaggio

1.3.4 Vice-president's name(s):

Stephen Dominic Carnaggio

1.3.5 Secretary's name:

Stephen Dominic Carnaggio

1.3.6 Treasurer's name:

Stephen Dominic Carnaggio 

2. LICENSING

2.1 List jurisdictions and trade categories to which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable.

State of Maryland

Business License  # 03415267

2.2 List jurisdictions in which your organization's partnership or trade name is filed.

Baltimore County, Maryland

 Anne Arundel County,  Maryland

3. EXPERIENCE

3.1 List the categories of work that your organization normally performs with its own forces

Demolition, Concrete, Carpentry, Doors & Hardware, Gypsum Drywall, Painting   

3.2 Claims and Suits. (If the 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?

3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers?

3.2.3 Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years?

3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal or another organization when it failed to complete a construction contract? (If the answer is yes, please attach details.)

3.4 List major construction projects your organization has in progress, giving the name of project owner, architect, contract amount, percent complete and scheduled completion date.

 See Attached Prequalification Package

3.5.1 State average annual amount of construction work performed during the past five years:

4. REFERENCES

4.1 Trade References:

 See Attached Prequalification Package 

4.2 Bank References:

 Peoples  Bank

Thomas Hodgins

11350 McCormick Road

Hunt Valley, Maryland 21031

4.3 Surety:   

4.3.1 Name of bonding company:   

Main Street America Group  Canton, Connecticut 06019

4.3.2 Name and address of agent:

  Christopher Smith

 Anderson & Catania Surety Services

 707 Philadelphia Pike

 Wilmington, Delaware 19809

5. FINANCING

5.1 Financial Statement.

5.1.1 Attach a financial statement, preferably audited, including your organization's latest balance sheet and income statement showing the following items:

See attachment

5.1.2 Name and address of firm preparing attached financial statement, and date thereof: 

 Ramina & Associates, P.A.

 Timonium, Maryland 21093

5.1.3 Is the attached financial statement for the identical organization named on page one?

 Yes

5.1.4 If not, explain the relationship and financial responsibility of organization whose financial statement is provided (e.g., parent-subsidiary).

5.2 Will the organization whose financial statement is attached act as guarantor of the contract for construction?      Yes

6. SIGNATURE

6.1 Dated at ____________________ this _______ day of ________________ 20_____.

Name of Organization:    Carnaggio Builders, Inc.

By:  ____________________________    Stephen D. Carnaggio, President

6.2

M. ______________________________________ being duly sworn deposes and says that the information provided herein is true and sufficiently complete so as not to be misleading.

Subscribed and sworn before me this _______ day of____________ 20_____.

Notary Public:

My Commission Expires:

CAUTION: You should use an original AIA document which has this caution printed in red. An original assures that changes will not be obscured as may occur when documents are reproduced.

AIA DOCUMENT A305 · CONTRACTOR'S QUALIFICATION STATEMENT · 1986 EDITION · AIA® · ©1986 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20005 · A305-1986

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