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Housing Rehabilitation Program Contractor Interest Form
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Contractors interested in bidding on the City's rehabilitation projects mentioned on the previous page are asked to submit an interest form below. You will be contacted at a later date to provide additional information such as, but not limited to: references, W-9, copy of State Contractor's license, proof of Insurance, etc.
Insurance must be equal to, or exceed the following requirements:
Housing Rehabilitation Program - Contractor Interest Form
State License Number
Name of Person Filling out this Form
Title of Person Filling out this Form
Certification of Non-Discrimination by Contractor
I hereby certify that my contracting firm does not discriminate in its employment with regard to race, color, religion, sex, or national origin; that it is in compliance with all Federal, State, and local directives and executive orders regarding non-discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal opportunity in employment.
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