BART Police Zone Facility / BUILDING A SAN JOSE / Berryessa Campus / VTA Ancillary Building / Berryessa Transits Center Campus / /
IndustryTerm
liability insurance policy / compensation insurance policy / admitted surety insurer / State law / site utilities / /
Organization
California Department of Insurance / Santa Clara Valley Transportation Authority / VTA CONTRACTS OFFICE / Bus Transit Center / Notary Public Signature My Commission / /
Person
Edward D. Lao / /
Position
Contractor / QUALIFICATION Contractor / Company Contractor / SSN____________________________ PRIME CONTRACTOR / proprietor / Officer / broker / Yes No Contractor / valid and current California Contractor / PRIME CONTRACTOR / /
Microsoft Word - C742 (15002F) REQUEST FOR PRE-QUALIFICATION v3