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HomeMy WebLinkAbout09) Questionnaires & Financial Statement for Bidders(Dan Cristiani) ;;r:-..;-', . I'.[>r~; . A l t 61 I I I :>~ \:.- -, .4" 11 . ( I . . Gen.ro Fonn No. 96-. Prescribed by the State Board of Accounts of Indiana. Revised 1949 STANDARD QUESTIONNAIRES AND FINANCIAL STATEMENT FOR BIDDERS Prescribed by THE STATE BOARD OF ACCOUNTS OF INDIANA For use in investigating and determining the qualifications of bidders on public construction when the aggregate cost of any such work or improvement will be Five Thousand Dollars or more. I These statements to be submitted under oath by each bidder with and as a part of his bid, as provided by Chapter 305, page 1248, Acts of 1947. Submitted ...............................................................-~................................................................~........................~.. By ...p..~~...~.~~..~.~.~.~.::.~...~~.~.~~.~.~.~.~.?...~~.:..:....~~:.:.............................. { ~~~~~ ~Mti1 Address .._~.?f...~...9.~9:...?~y....~}.~........................................................................... ......................... ........ ....~.~~E!::~~ ~.~.~~.:....~.~...~.?~.~.?........................................................................ ........................ Date submitted................ ..................9.~.~.~ .I?~.E...~.Q.......................................... 2003 Filed ..........~.._............. ................................. ............................................................ ...................................................................................................................... ................................................................................................................ ..... ... ........ .......... ................. .:................ ~.. ~...... ............... .~.......~..... ....~...........~.. A.E. BOYCE. MUNCIE, !ND C:ISydneyl."Joe,lmiscellnneow\mnslerldivB.Wj,d B-107 f$ubm.iFed by .....?~::...~.:.~.~.~.~.~::~...~~.::.'::::.~.:Lr::~....?.~.:..~..,.~~:.~..................................................................~................. { ~~:K=~ {Jr~.~.n:ligM{d~lc j P rinci pal Office at ..J.~~.~...9.~.~...~~!.....~~.~..............,..........,............................................................................................................................................ (\. i Clarksville IN 47129 ...................................................................L................................,'........................................................................................................................................... G EXPERIENCE QUESTIONNAIRE _ The signatory of this questionnaire guarantees the truth and accuracy of all statements and of all answers to . interrogatories hereinafter made. _l. 12. 3. I 1 I fa. I I 14. I 5. I 16. 17. r, l~ How many years has your organization been in business as a general contractor under your present business name? .........:?~...y.~.?!.~..................................................................................................................................................................................................................... How many years experience in construction work has your organization had (a) as a general contractor; and (b) as a su bcontracto r? ...J.?2...};?...y~.?.!.~.........~.1?.?....~.?....Y..~~E.~.............................................. ................................................................. ....... ....... What. projects has your 0 rganization completed?.......................................................................................................................................... CONTRACT AMOUNT CLASS OF WORK WHEN COMPLETED NAME AND ADDRESS OF OWNER . 1,117,004.88 Sanitary Sewer 09/2001 City of Jeffersonville .............................................................................. .................................................................................... ............................................................................... ...................................................................n.... 439,972.62 Street Reconst 09/2001 City of New Albany ... .... .... ...... ................ ..... ....... ~~ ....~.~..~.. ~~ ...... ..... . .....~.......... ......... ~.... ~.~.. ..................... ~.. ......... ..........................~..~...~....................................... ............................................ ......~............... ..... 65,900.56 Excavation 03/2003 City of New Albany What projects does your organization now have in process of construction? C0NTRACT AMOUNT CLASS OF WORK WHEN COMPLETED NAME AND ADDRESS OF OWNER ............ ..Yt.? J..?.9. ~.:. .9.9. ............ ......... Subdivision In process Aberdeen LLC ..............~.~.......................................... ................... ................................................................... .................................................................. ....... ..... ...7..?.9..~ .Q.9.9.:..Q~.... ......... ......... Subdivision In'.'process Robert Lynn Co .................................................... ...~~~........... .....~.................................. ....................................... ............................................................................ 203,630.00 Sanitary Sewer In process SDR Developers Have you ever failed to complete any work awarded to you? If so, where and why. ...... .............J~I.Q.... .......... .... ...... ..... ...... .............. ............... ......................... ........ .................. ..... .............. ........... ............. ............. ....................... ....................... .................................................................~.. ..................................................................r................................................................. ............... ...........................................................:-.............................. H~~.~;y..;ffi~~;..;~..p.~~;.~;.;{y;.~.;.;;g~~i~~i.;~..~~~;.b~~.;..~;..;ffi~~.~..;;.p~-;.;;;~~..;{~.;~~.;~h~;..;;g~;i~~~i;~.~h~~ failed to complete a construction contract? If so, state name of individual, other organization and reason therefor. .....................N!=?............................................................................10.......................................................................................................................................... ...................... .................................................................................................................~..........................................................................................................~..............................................................~..~......... Has any officer or partner of your organization ever failed to complete a construction contract handled in his/her own name? If so, state name of individual, name of owner and reason therefor. .....................N9......................................................................................................................................................................................................................... I~.;h~~..;~h~;..ii~~.~..;{.b~~i.~~.~~..~;~.y;~.fi;~~~.i~liy.i;.~~;~~~~~i"?........................................................................... .................................... Ea.rth F:lrstof Kentuckiana, Inc. - Sale of building materials, dirt & mulch ...... ..................... ................... ........................................................r...... ....................................................................................... ............... ............................... Gotta Go Inc. - Trucking ........ ...e...........~. .~....~. .~.~ ~.... .... ,.:~...~. .............. ....... ........... ~.~...'......... ......... ....... ... ....... .:~.....~. .............. .......... .... ... ...... ..... ........... ....... ................... ................. ..... ~...~.. ~.................... .~............. .......... ~~... ~.... . C:\Sydneylwpdocslm;scellaneouslmasler\d;vB.wpJ B-108 I 12. H~~~.y;~"~~~~'p~d;~~~~r~~y";~';k"f~;"~'h~"lTs:i'G;~'~;~;:~~t?'''i{~;:'';h~;''~~~ft;':;h~~.'d~'y~~'~~f~;?''''''''''......... No f ~, l(~, 19. , 110. t IlL I l/~ I For what corporations or individuals have you performed work, and to whom do you refer? :.,J Ro b ~E.~....~y'~.~...~.~.:..~....?)}...~~,..~.~P.~E...~~.~....~~.~...A1p.~.~y.).....~.~...!:I:n.?g...........~g.Q...Ly.nu.................................................................. ............... . I . . .. ..~.~.~}.~.~~..:!..~....~P.E.!gt~I.,...J.7..P...J:U.U.i?mR.Ql1.r..g..,p.x..1...J.g.f..f.g.I.f?9.nYl-.U&:....I.N...4t-.7.1.3D...........Bill...S;pr.igl.er...~...~......~,... ;.~.~.~~.~E~.~...Q~y.~).<?P.1,1;l.<:.~.~...!:.~.9..~....?Q.2...~E.i.g...P.E.,.../.~!J~E.?Qg.Y..i.U.~.t....P:1...~7.J.:?Q,..........G.r.~.g...L.ander................................... : 21 s E....9.!:.g.!:~EY....P..~Y.~J9.P..~I.~.l....~.Q?:.Z...W.9..+.LJ,..?.\<;g..J?1y.fl.1...~g.W...A!J??.ny..1....IN...{j..7..15.0...........Gr.e.g...F.ur.uish...........,........... ........... . I F~~.:;h~~..~i~i~;.h~~~.y~~.p~~f~.;~~~r;~~k..~;.~E~~r:;.h~~.d~..y~~..;~f~;?............................................................................................ .....~.~~.Y....~.~...~.~.~.~.~E.~.~~::.~J..~.~...:....l?~.~...~L~.~.<:.??......,......................................................................................................................................... . .....~.~.~.Y....9.~...~.~~...~.~!?~p.y..,.t::.J.'?1?n...~9..f?~.n!?e.:r.g~.:r...,............................................................................................................................ ..... ........ .....'!!?~... ~.~...g.1.?I.~.f?;y.i.ll~...::-...IQ.w...g.lgx.i.gg.uf.~............................................................................................................................. .............. .... .....!..<?~...9.~...~.~.~.~.~E!?~~??g...::-...~~.~E.~.n...gE.~.~.~~........;......................................................................................................................................... F~~.:;h;~..~~~.;~i.~;.h~~~.y;~.p~d~.;~~d.:;~~k..~.~f.~~.:;.h~~.d~..y~~..;~f~.;?...............,.................................................................... ::::~:t:;:i.~:::~~~:~:~i.:::~:::~~~:~~~::~::~:~~:?:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ......~~.~.~.~....9!?~.~.~y.....::...............................................................:......................................................................................................................................... .....~~.~E.~.~.<?p....g.'?!-!.n.1=.y...::-...9.~.~g...~~!?~.............................:......................................................................................................................................... F~~.:;h;~..St;t~..b~~~.~~~..~;..~:i"~p.~.~~~~~..h~~~.y;~.p~a~.;~~d.~;;k';~~(t;.:;h~~..d~..y.~~.;~f~.;?........................................ None ......................................................................................................................................................j...................................................................................................................................................................................................... ................................................................................................................................................................j............................................................................................................................................................................................................ .....................................................................................................................................................j................................................................................................................................................................................. .........................................................................................................................................r........................................................................................................................................................................... .......................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................. I -... ........................................................................................................................................................................................................................................................................................................................................ ...................................................................................................................................................................................................................................................................................................................................... ....................................................................................................................................................................................................................................................................................................................................................... 13 What is the construction experience of the princIpal individua s of your organization? I PRESENT YEARS OF INDNIDUALS POSITION OR CONSTRUCTION MAGNITUDE AND IN WHAT NAME OFFICE EXPERIENCE TYPE OF WORK CAP ACITY . .. . Sm~ll-large;water, Laborer, driver, .p..~~...~...9E~.~.~.~.<::~.~......... .~::.::.~.~.~.::~~......................... ...........~.~................................. .~.~~~~;ry.!.?~~~t~~.~!2':&.~ ...?I?~E~.~.???,...J.~E~.~~g... Leo Messmer General Mgr 31 Same Same ............................................................................. .......................................................................... ................................................................... ................................................................... .......................................................... r Allen Jackson 40 Same Same Foreman ............................................................................. ................................................................... .......................................................... .................................................................. ................."................................... Richard Baker Foreman 25 Same Same ........................................ .... ...... ........... ................................. ..... ...... ........................................... ......................... ......................n::L~.b~~.~-;;.~.. 'Op'~ -;; ~.t;;~.~. Chris Tisheuar Dispatcher 30 Same Driver .............. .......................... ....... ... .................... .............. n............. ....... .................................. ........ ............. .............................. ...... .. L~'b;; ~.~:;:.;...;; p'~~' ~'t;;~';' Dale Graf Estimator 10 Same foreman .................................................. ............................... .................. ............................ ..................... ...................... ............ ............... ..L~.b~~.~-;;.~...;;p.~;;.~.t;;~.~. Jim Dethy foreman 40~ Same foreman ............................................................................ ................................................................. .................:....................................... ................................................................ ................................................................ ..............:............................................................... ........................................................................... .................................................................... ................................................................. ..................................................... J............................;.....................;........... ....................................................................... ...................................................................... ....................................................................... ......................................................... C,ISydn'Y1.,.Iocslmi.ccllaneouolm..lcrldivB.wpd B-109 signatory of this questionnaire guarantees th~ truth and accuracy of all statements and of all answers to f interrogatories hereinafter made. (\ i 'ln what manner have you inspected this propos~d work? Explain in detail. .... ...~. ~ .~.~.~.L.. ~P.:.~.p..'? s-.!:j,g.TI.,... .!:.'?~.~.. .pJ 9=.TI. I?.. ................. .~. ........ ...... .... .................. .............. ..................... ........ ..................... ..................................... ..............................................................................'n..............................~...........i......................................................................................................................................................................... .......P..i.g..h!?1.~;..g.u4...~~.t...li.f.t....at.a.tiQn............................................................................................................................................................... Lay pipe "' It~),;~,~1~m~~~~~f.::~~~:~~~~:::~~~:~.~~~~=.::::.:::.:.:.::.::i::::::::..:::::..::::.:.::......:..:::..:.:::.::::::::::.:::::::::.:.:::.::::.::::.::..::.:::::.:........:.:::.:........ ;;.~:;,;,>;,__;~,.~,:.........._~..~...,.................................................u...................................................................,.............................................................................................................................................................. . Seed & straw ' ,.. . <".".~" '.:"" ..... ....... ........ ......,............m..... .... .............. .............. ...... ....... .......T..... ..." ........ .... ...... ... ...................... .m.... ....... ........ .............. ... ....... .......... ............. ................ ........................................................................................................,........................................................................................................................................... I t- t 1 ~ , j 2. I 14. I 5. I I 16. I I r\i ~, PLAN AND EQUIPMENT QUESTIONNAIRE ................. .................................................................................... ....................~................................................................................................................................... .................. .....................................................................................................................,.................................................................................................................................................-........... ......................................................~...............u...................................................~........................................................................................................................................................ E.~pf;i~.y~~;.pf;~..;;T~y.~~~.f;;.p~d;.;~i.~.g.~h~.p~~p;.~.~d..;;A~:.......................................................................................................... .......p..~:':.~.~.~.~E...l.~J.~....~.~.~t~.9.g...~A.t'?....................................................................................................................................................................... Blast . ................................................................................................................................................................................................................................................................................................................................ I ......................................................................................................................................................................................................................................................................................................................................... .............................................................................................................................................j.................................................................................................................................................~................................................ ............................................................................................................................................................................................................................................................................................................................................ , Th~.;~~k:..i{~;~;d.~d""~.~..y~~:..;ili""h.;~~..~.h.~.p~~~;.~;C~.~pe~i.;i;.~..;T;.h~~?................................................................................ .................~J.~.'?g....J.~.~.~!?9.TI............................................................................................................................................................................................... *...D~.y~~.i~t~~d"t~..d~.~he..h~~ii~g.~~.the..p.;~p~;~~f;~~k.;i~.h..y.~~..~;~."f;~~~.~?."i{~.~.:.gi~~.~~;~~~.~~d"typ~"~f equipment to be used. Yes triaxles and single axle dump trucks ...... ................to.... ....... ........... ........................ ....... .......................... r.......... ......... ....... ........................ ............... .................. ... ......... ........... ..... ............................ *...i{y~~.i~t~~~f~~..~~bi~t.~h~.h~~ii~g.~~.ped;.;~ri~.th~~~gh'~.~g~~~.:.;~.;~~..;~~~~t""~{;~b~~~~;;;;.;.;.~g~~t.~~~~~~~ and, if known, the name and address of subco~tractor or agent, amount and type of his equipment, and financial responsibility . N/A ..................................................................................................................................................;.............................................................................................................................................................................................. ...............................................................................................................................................................................................................................................................................-....................-..........-......................... ..........................................................................................................................................................1.................................................................................................................................................................................... *...D~.y~~.i~~~.~d"~~..d~.th~..g~~di.~g.~~.~h~.p~~~;.~~.~C;;.~.k..;i~h.y~;.;.;;~.f;.;~~;?................................................................. Yes .............................................................................................................................................................................................................................................................................................................. , ..................................................................................................................................j.............................................................................................................................................................................................. ............................................................................................................................................j.................................................................................................................................................................................. .....................................~........................................................................................................t..................................................................................................................................................................................... ;;... 'i~~~;' 4:'5:' i;~~;i"7";~y.~~~.b;.~pp.l;~~bi~ i~'~ii b;;iid;;;g'~~~~~~~~~:"if ~~;:~;;;i~:"" .... .................... ...m........ ............................................................................................... C ,ISyJneyl"'l'docslmi.cellaneouslmnste,lJivB.."J B-1 10 17~ I- I I 8. I I 9. I I 10. l * If you intend to sublet the grading or perform. it through an agent, state amount of subcontract or agent's ~ontract and, if known, the name and address of subcontractor or agent, amount and type of his equipment and financial responsibility. . N/A .......................................................................~.......................................................i...............................................................................................................................................................................u........ .L............................................;,...........................~....................................................~...........................,....................................;............................................................................................................................... ......................................................................................................................................1.................................................................................................................................................................................. D";..y;~..i~~~~d"~~..~~br~~..~;y.~~h~;..p~~i~;;.~{~h~.:;.;;k?..I{;~.:.~~~~~..~~~~~..~T;~b~;;~;~~~..~~.~i",".i{k~.;:;~~"~h~ name and address of the subcontractor, amount and type of his equipment and financial responsibility. t'! a 1;.~ 9.~~.l...~.~);.~E...~.~!.y..:h!:.~.~..L.I~p.~!:.~...~.l!:.?.~?:.~Jh..9.~.~E.~.~.~.~.?~~.1..J~i...~!:.P..~.~.~J....$.~.1.'!.~...J~A.t.~.~.~P.2.E.?5....;I;J!!;....... ....... . . . .. . - -I . Kruer Seeding, Floyds Knobs; IN; Libs Paving, Floyds Knobs, IN; Kiesler Electric, Greenville .ii.~~.t'i:;;g.~...F.~~~.~.;....T~.;;i~.~.."B~.ii'd.~;.~.;....s~i'i~.;t;~.~.;g.:....iN.................................................................................................................. .......................................................................................................................................+......................................................................................................................................................................... F;.;~.;;hi~h..;~b~~;~~~~;~;.;;.;g~;~~..d~..y;~..~~p~~t"'~.;..;~q~i;~..~.b;~"d'?........................................................................................ None ................................................................................................................................................j................................................................................................................................................................................. ......................................................................................................................-:............j......:.........................7..................................................................................................................................... ;................................................................................~......................'j"..............................,......................................................................................................... wh~~..~~~i~.~~;~.d~..~~.~..~:;.~..~.h.~~..i~.~~~ii~b'f~.f~Fth~..~;~~;;~d.;;~.~k~............................................................................................ DESCRIPTION, SIZE, CAPACITY, CONDITION ETC. QUANTITY ITEM YEARS OF SERVICE PRESENT LOCATION I .............~.......................... .~~.~~~.~.~.~................. .:!.!?..}~.~~......................... ........~~.?~...................... ..............~........................ y.~E~.?.~~...j9.~.~.~.~.~~ ........... ..?....... ................... .~~.~.~.~.?.~.~.~.~............ .~.~.~.~....~??...~?.~~.~.~.~. ........~.??.~..................... ..............?:::?2................ y.~.:.~.?.'!..~..j9.~.~..~.~.~~ I..~ ...~.~....................... ~?::~.~::.~.~~.::.~............ ..?~.~.~....~!??....~~~~.~.~.~. ......J?~.?~...................... ..............~.-..:~............... .... Y.~!:.~9.~.?...t?.~.~.~.~.~.?. ., .............~.?....................... .~7.~~~~..~~~~~.:.~.... .~~.~.7.~.~.~................. ........ .........~~.?.~......... ............. ..............~.-..:~.~................ y.~.:.~.?.'!.~~.. .J.9.?.~.~.~.~.~ I 13 Loaders various good 1-12 Various Jobsites . ........................ ................. . ................ ..................... ................... .................... ..... ................................... ..... ........................................ .................... ...................... 9 Scraper pans various fair-good 2-25 Various jobsites ...................................................................................................... .................................................. ............................................... .............................................. ............................................ I I 5 Rollers var~ous good 2-8 Various jobsites ............................................................................................................... .................................................... .............................................. ............................................... .............................................. 45 Triaxle dumps various good 2-10 Various ...................................................................................................... .................................................... ............................................. ................................................... .............................................. ................................................ ................................................ ........................................................ ............................................ .................................................... ................................................. I ....... ......... ......-.... .............. ...................................... ......... ............. .... .... ...... ..... ... ............... ......................... ......... ............................... .................... ...................... I r I ......................................................................................................-.... .................................................. ................................................. ................................................. ............................................ ........................................... .................. .............. ............ ....... ........................... ....... ....... ~.......... ................................................... ........ .... .......... .............................. ................................... ......... ................................................... .......................-.................... .................................................. .............................................. ............................................... .................................................. C'ISydneylwpJocs\m;.cellaneouslmasl..ldivB .wpJ B-111 ................................................... ................................................. ................................................................................................................................................................ ............................................ 112.. How and when will you pay for the equipment purchased? N/A .:.............................................................................................................................................i.................................................................................................................................................................................................................. -'13. i5~.y~~.p;~p.;~~..~;..~~~~..~;;y.~.q~ip~~~~..f;;..a~i;.;;~k?..i{~~:..~~~~~.~yp~~..q~.~~~i.ry..~~~r;~~~~~~..f;.;..;~;;~i;;g.................. No 1- 114. Have you made contracts or received firm offers for all materials within prices used in preparing your proposal? Do not give names of dealers or manufacturers. Yes r- ........ ........ ...... ......... ..... ................ ......... ............ ..................... ........... ........... ..... .............. ......~... ... ......... ......... ........ ............... ............. ..... ......... ..................... .................... .... ... ....... ............ .......... ........ ............ I Dated at .....~.~.~E~~.~.~~.~.~.L..~~.................this ..............J~.~~........................day of .........?~.~~.?.::::........................................ 20..QJ............... I Dan Cristiani Excavating Co., Inc. .................... ..... ........ .............. ..(N;;;;~.~.l(),:g~~i;;,;~i~~). ........................................... .... 1'1 P esident <<:...... ................. ............ ............. ................. .............. .... .-.... ..................... (Title of Person Signing) 1'1 STATE OF .........J~~~.~~~.........m............... ) ) 55: COUNTY OF...........~.~.~~.~................................ ) ! ........................................p.~.~...~.:....~E.~~.~.~~.~.~.................................:.............being duly sworn, deposes and says that he is a member of .. D.in Cristiani Excavating Co., Inc. .. and that the answers to the questions in the foregoing .........................................................................................~.....................,;.....................................'.............. . . .. . (Name of Organization) questionnaire and all statements therein contained are true and correct. {,s~l'?ffribed and sworn to me this......................?9.~~...........;.............day of ..............~.~!-.~.I?~E.....................................20 ~}................................ , -orrunission expires .mu..m..l_~_~~_3.:::~.O'_O'~m.....m.m..u..'...um.m ,~'1YI . ~ Lisa . Eddleman C:\Sydney\wpdoc.\miocdl.ncous\masler\divB.wpcl B-112 .;'r ~7iZ ... [-- -. ;W - ,~. I....'....... ~' ~p ; J 1 11 1 1 1 II :~.-.'. :'!." ./ ~.-.' - Ltl I , } tI . ~ { II ~ '. Ill'. ~~. 1 f 1 BALANCE SHEETS December 31, 2002 and 2001 DAN CRISTIANI ,EXCAVATING CO., INC. ! ASSETS CURRENT ASSETS Cash Contracts receivable, net Miscellaneous receivables Receivable from affiliates Costs and estimated earnings in excess Of billings Inventory Prepaid expenses Notes receivable TOTAL CURRENT ASSETS PROPERTY AND EQUIPMENT Construction equipment and vehicles Leasehold improvements Office equipment Less accumulated depreciation PROPERTY AND EQUIPMENT, NET OTHER ASSETS Deposit on equipment Investment in subsidiary TOTAL ASSETS LIABILITIES AND STOCKHOLDER'S EQUITY CURRENT LIABILITIES CUrrent portion of long-term debt Current portion of capital lease obligation Accounts and contracts payable Accrued payroll and payroll taxes Accrued expenses Accrued interest Accrued built-in gain taxes Billings in excess of costs and estima~ed earnings Deposits Deferred income TOTAL CURRENT LIABILITIES Long-term debt, less current portion Capital lease obligation, less current portion TOTAL LIABILITIES STOCKHOLDER'S EQUITY Common stock; 1,000 shares authorized; no par value; 100 shares issued and outstanding Retained earnings TOTAL STOCKHOLDER'S EQUITY TOTAL LIABILITIES AND STOCKHOLDER'S EQUITY 2002 $ 342,736 1,993,285 124,218 198,439 30,093 14,454 2,703,225 6,658,864 39,199 66,939 (3,768,186) 2,996,816 3,000 $ 5,703,041 $ 688,597 82,060 873,976 71,433 44,178 2,708 14,640 32,096 19,049 1,828,737 821,214 109,550 2,759,501 12,093 2,931,447 2,943,540 $ 5,703,041 See notes to 'financial statements. 2 2001 $ 672,023 2,231,359 11,209 44,775 33,733 220,780 25,789 3,239,668 5,680,784 41,769 87,641 (2,970,755) 2,839,439 7,929 $ 6,087,036 $ 718,236 37,328 1,112,009 64,592 27,696 4,177 60,086 200,000 2,224,124 758,020 65,659 3,047,803 12,093 3,027,140 3,039,233 $ 6,087,036 =14 ~ -I :~ -I -I -I -I. -I -I I I~.- I I 1 1 1 1 1 l' 1 DAN CRISTIANI EXCAVATING CO., INC. STATEMENTS OF INCQME AND. RETAINED EARNINGS for the years ended .December 31, 2002 and 2001 REVENUES Construction and excavating Trucking Administrative fee income 2002 2001 $ 10,330,386 $ 12,860,760 1,698,863 1,221,499 273,600 264,000 12,302,849 14,346,259 2,488,720 2,295,421 3,460,201 3,579,154 2,339,901 4,087,486 1,063,268 958,367 439,927 503,544 242,132 178,717 252,329 314,377 534,109 750,508 23,704 23,273 23,447 51,769 201,624 186,480 73,499 54,987 98,750 128,217 39,589 34,726 11,281,200 13,147,026 1,021,649 1,199,233 584,747 701,921 62,501 60,306 66,375 84,855 67,550 51,850 35,608 38,766 40,479 48,553 58,348 24,815 47,447 48,387 5,866 10,110 12, 844 11,912 4,039 20,122 51,070 45,658 5,249 6,149 21,850 15,843 10,441 12,679 14,289 12,019 21,258 45,778 1,109,961 1,239,723 (88,312) (40,490) TOTAL REVENUES DIRECT COSTS Wages Materials subcontractors Depreciation and amortization Repairs and maintenance Insurance Gas, oil and fuel Equipment rental Permits, bonds and plans Landfill fees Payroll taxes Trucking costs Interest Employee retirement TOTAL DIRECT COSTS GROSS PROFIT OPERATING EXPENSES Salaries Insurance Office expense, supplies Rent - building Telephone and utilities Payroll taxes property taxes Legal and professional fees Depreciation and amortization Administrative fees Bad debts Advertising and dues Travel and entertainment Uniforms Employee retirement Miscellaneous taxes and licenses Contributions TOTAL OPERATING EXPENSES LOSS FROM OPERATIONS See notes tal financial statements 3 111 1~ -I r- -I' ,-I -I -I -I I I )/'- I I I 1 1 1 1 r\ J 1 .' DAN CRISTIANI 'EXCAVATING CO., INC. STATEMENTS OF INCOME AND,RETAINED EARNINGS for the years ended December 31, 2002 and 2001 LOSS FROM OPERATIONS 2002 (88,312) 3,251 2,220 110,819 116,290 27,978 (45,645) (78,026) 3,027,140 $ 2,931,447 OTHER INCOME Miscellaneous income Interest Gain on sale of equipment TOTAL OTHER INCOME NET INCOME Distributions Liquidation of subsidiary RETAINED EARNINGS, beginning of year RETAINED EARNINGS, end of year See notes to ~inancial statements 4 2001 (40,490) 7,932 9,980 36,017 53,929 13,439 (136,260) 3,149,961 $ 3,027,140 .:oration, answer this: Of' fo r w hi ch in co rp 0 rated .............. ..... .......... .................. ..... ........ ........ ........ .................... ........ ............ .............. ............. ....... .... ........ ....... .......~..... 'tal paid in cash ........ ................... ..... ...... ......... ..... ....... ..... ........ .... ................. ......... ..... ..... .................. .......... $ .. .......... ............. ................. .... ......... ......... {~~,f~~}nco rp 0 rated ........ ...... ...... ....~.~. ?.~............. ....... ............ ............ ......................... ............ ................ ........ .-................ '" ........... .............. ...... .... ............... I ~f~.~~t state ....... ......................... .....:);g~J.~g.~...............................:....................... ................................................................................................................. .:$!~i(. I ~~,~~,", ',an, . d titles. of all persons having authority to execute and receipt estimate ,:,ouchers and to conduct other business f6ftij~,.corporat1on, IncludIng Its officers, the SIgnatures of whom are legally bmdIng. .................................................................................................................................~...........................................................................................................................................................u............................. r' ...I~...J;;.E.:h~.!;.i.fl..n.i..2....fr.g.$..i.st~g.t.......................................,........................................................................................................................................ ................................u..........................................................................u...........................................................................................................................~~~~~.....~........~.~~...~~.....~...~~.~..~..~....~.~_...~......~.....~ ......~............~.~.......~...........~....~.....~.~~..................~......................~~......................:~.............~.........................................................~........~......................~...............................................................~....................... l..~....;.........::..~.~.~::........................................................................................l........................................................................................................................................ Q'6you h~ve the necessary "certificate of authority" t~ transact corporate business in this state, under the terms of I~',:;r 215, Acts of 1929, and acts amendatory thereto? .......:'.~.~................................................................................................................. Ifaco-partnership, answer this: I/---(!.. . ~~~1'~ S," I ~~1~:9f. 0 rganizati on... .... ......... ......... .......... ......... ............,. ...... .... .... ....... ... ...... .... .... ...... ..... ............ ...... ......... ... ... .... ... .............. .... ... ....... State whether co-partnership is general, limited or association ....................................................................................................................... names, addresses and proportional interests of all parties............................................................................................................... NAME ADDRESS SHARE ..... ~~.~.. ~.. ........~.. ..~..... ...~.~.~...... ...... .1............. .... .... .................... ............ ......~............ ................ ~.......... $ ........................................................................... $ ....................~........................ ........................................................................................................ ................ ........................................................................................ .........~~................................................................................................................................................. $ .................~......................................~..................... $ ......................................................................... $ ...................~....~.~.................................-.... $ ................................................................. $ ................................~.~. ~........ ....... ............... ~~.... ............ ................................~.. ....... ...~~...~ .................................................... .~~......... .~. ~."""." ................ ...... ..............................~.~.... ~................. .................... ".~."...". ...~..... ..~~..~.~....................... .......... ~.... ................................. .............................~..............~.................................... ...................... ....~........ ...........~...........~~.................................................~........... ..................................................................... ................................................................................. !' $ ..~.....................................................................~......................................~..............I...................:................~............................................~..~.............. .................................................................. C,ISydneylwpdocslmi.cellancouslma'lcr\divB.wpd B-118 name of the partnership firm under which the above partners are operating is......................................................................................................... ~~ ' '~ ',. .. Iye.riirii~.~.d.~i~i~.;.f.ill.p~~;.~~.h~;~g.~~~h;.ri~y.~-;.~;~.~-;;~~.~~r~~~~ip~.~~i~~~~-;;-~~h~~.~d.~~.~~-;;d~~..~~h~;.b-;;~i-;;~~..f~~.~h~.p;;;;~~~hip; I~~~ignatures of whom are legally binding. r~.~..t":::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: I....... ........ .'. .... ...................... ........ ........ ............. ...... .................... ............ .......... ........................ .................... ...... ........ ......... ........ ................ ........... ................. ............. ..... Th~.-;;;d~rsigned hereby declares that the foregoing is a true statement of the financial condition of the individual, co-partnership or corporation herein first named, as of the date herein first given; that this statement is for the express purpose of inducing the party to whom it is submitted I. t:Oirward ~he subm~tter a contract; and :hat ~ny depository, vendor or other agency herein named is hereby authorized to supply such party with any mformatlOn necessary to venfy thIS statement. NOTE: A co-partnership must give firm name and signature of all partners. A I corporation must give full corporate name, signature of official and affix I corporate seal. ~i:J:r ' Affidavit for Individual 1:~t~fE OF .............................................. ) ;!~'~icE;i;i ) 55: I"CO~TY OF ........................................................ ) ~......:.;...........................................,........,....,..~................u,....................~...L.....being duly sworn, deposes and says thereof that the foregoing financial lil~~lt;:,=;:::::'t~:.tcue andaccume ",,,meht of h~ fioanciol conwtion .,.:~.t~:..~::.~::.=f.~.:.~:t..'::.=:=..t:.... !!~iWi! (Applicant must sign here) ,.,.~ Affidavit for Co-Partnership 'EOF ......................................... ............... ) ) 55: .......... ...... ............ ...................... ...... ) I COUNTY OF ...........................................................................................................................being duly sworn, deposes and says that he is a member of the firm of I ~-;~~~i~~;.~h~~.~h~.f~~~g~i~g.fi~~;;~iJ..~~~~~~~~.:.~~k~~..f~~~~h~.b.~~k~~/;~~ ?~~,f~s~i~:e :~~ ~~~u~~t~~:~~:~~:i~Tt~~~:~:gcf~~ ~::~i~~~ln of s~d fIrm as of the date thereof and that the answers to the foregoing interrogatories are true. I Subscribed and sworn to me this......................................day of ...................... 20 ............... (Member of firm must sign here) ............... ...................... ....... .....N.~~~ry.P-;;bii.~..... ........... .................. ...... ......... I Affidavit for Corporation STATE OF I COUNTY OF .........~EJ:~.~~~.~............................. ) ) 55: .........~.~.~.::~................................... ) f ..................................P..?g...I~....y.E.~.~.~.~.~~.~.......................................being duly sworn, deposes and says that he is a member of the corporation of ....p..9-.u..J;;.Ei!?ti:?:~.t.:..~.?5?~.y.~.~.~~~...~.~.=.L...~~E.:..................... described in and which executed the foregoing statement; that he is familiar WIth the. bo~ks of saId corporation showing its financial condition; that the foregoing financial st~ t, taken from the books of said corporatlOn 1S a true and accurate statement of the financial condition of said corporation as of l1'e date e the answer to the I foregoing interrogatories are true. . . ere) r~if 'ib"1m ,!,om cWl1 me ]!1';"zr:Jg.~~................... day of.g.".~.9.~~.F..... 20 .QJ......... ..............~..l......:;.~........................ Li'sa M. Eddlema~otary Public My Commission Expires: 10-13-2006 C,l,Sydney\wpdocs\mi.cell.neow\m..ler\divB'''lJ B-119