CCA Document No. 11 (Revised 1972)

CANADIAN STANDARD FORM OF
CONTRACTOR'S QUALIFICATION STATEMENT
(BUILDING CONSTRUCTION)

Copyright, Canada 1970

NOTE: (Required in advance of invitation to tender in order to provide information on the capacity, skill and experience of the contractor. Applicant may supplement information requested with additional sheets if required)

Name of Project

1. To Architect/Engineer/Owner
Name .............
Address: .........

2. From (Applicant) Name. ..................
Firm Name: Everest Restoration
Address: 100 Cherry St. Toronto, Ont. M5A 3L1 416-465-3989 Fax: 416-465-9589

3. If Corporation
Year Incorporated 1987
Federal.............Provincial (name provinces) Ontario

If Registered Provinces & dates: 1978; Ontario, 1992; Ouebec

4. Financial References Bank
Royal Bank of Canada
5001 Yonge Street, Toronto, Ontario M2N 6P6

Name of person to contact
Bruce Payne
Ph: 416-632-7938
Fax: 416-632-7988