Chavez Interiors

Qualifications

Contractor’s Qualification Statement

SUBMITTED TO:

ADDRESS:

SUBMITTED BY:

NAME: CHAVEZ INTERIORS LLC

ADDRESS: P.O. BOX 309 (480 Forum Parkway)

PRINCIPAL OFFICE: Rural Hall NC 27045

Corporation
Partnership
Individual
Joint Venture
Other ( Please Specify) Limited Liability Company

NAME OF PROJECT: (If applicable)

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

General Construction
HVAC
Electrical
Plumbing
Other (Please specify) Metal Stud Framing-Drywall-Acoustical Ceilings

1. ORGANIZATION

1.1 How many years has your organization been in business as a Contractor? 10 years

1.2 How many years has your organization been in business under its present business name? 2years
    1.2.1 Under what other or former names has your organization operated? CHAVEZ DRYWALL INC.

1.3 If your organization is a corporation, answer the following: N/A
    1.3.1 Date of incorporation:
    1.3.2 State of incorporation:
    1.3.3 President's name:
    1.3.4 Vice-President's name(s):

    1.3.5 Secretary's name:
    1.3.6 Treasurer's name:

1.4 If your organization is a partnership, answer the following:
    1.4.1 Date of organization:
    1.4.2 Type of partneship, if applicable:
    1.4.3 Name(s) of general partner(s)

1.5 If your organization is individually owned, answer the following:
   1.5.1 Date of organization:
   1.5.2 Name of owner:

1.6 If the form of your organization is other than those listed above, describe it and name the principals:

The company is composed of two owners:
Jose G. Chavez (President)
Gonzalo Chavez (Vice-President)

2. LICENSING

2.1 List jurisdictions and trade categories in which your organization is legally qualified to do business, and indicate registration or license numbers, if applicable: N/A

2.2 List jurisdictions in which your organization’s partnership or trade name is files. N/A

3. EXPERIENCE

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

        Metal Framing
        Drywall
        Acoustical Ceilings

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? NO

   3.2.2 Are there any judgments, claims, arbitration proceedings or suits pending or outstanding against your organization or its officers? NO

   3.2.3 Has your organization filed any law suits or requested arbitration with regard to construction contracts within the last five years? NO

3.3 Within the last five years, has any officer or principal of your organization ever been an officer or principal of another organization when failed to complete a construction contract? NO

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

Project Name: Statesville City Hall Renovations
General Contractor: Hickory Construction
Contract Amount: $ 47,685.00

Project Name: Rowan County Satellite Jail
General Contractor: Summit Developers, Inc.
Contract Amount: $ 159,250.00

Project Name: Northwest M.S. Reno. & Add
General Contractor: The Morganti Group, Inc.
Contract Amount: $ 53,000.00

Project Name: New Davidson County Middle School
General Contractor: Lyon Construction
Contract Amount: $ 131,856.00

Project Name: FSLR Pediatrics Office
General Contractor: Davie Construction
Contract Amount: $ 83,419.00

Project Name: Stokes Elementary School
General Contractor: New Atlantic Contracting, Inc
Contract Amount: $ 646,450.00

Project Name: PGA Carolinas Office Building
General Contractor: Lomax Construction, Inc.
Contract Amount: $ 109,175.00

Project Name: Hayworth Miller Funeral Home
General Contractor: Davie Construction
Contract Amount: $ 69,829.00

Project Name: Rowan County Satellite Jail
General Contractor: Summit Developers, Inc.

Contract Amount: $ 159,250.00

Project Name: New Davidson County Middle School

General Contractor: Lyon Construction Company
Contract Amount: $ 131,856.00

Project Name: Frazier Elementary School HVAC Renovations
General Contractor: H.M. Kern Corporation
Contract Amount: $ 64,700.00

Project Name: Dudley High School Athletic Fac. Renovations/Additions

General Contractor: H.M. Kern Corporation
Contract Amount: $ 57,800.00

3.4.1 State total worth of work in progress and under contract: 1,714,270.00

3.5 List the major projects your organization has completed in the past five years, giving the name of project, owner, architect, contract amount, date of completion and percentage of the cost of the work performed with your own forces.

Project Name: Summerfield Elementary School
General Contractor: Samet Corporation
Project Address: Trainer Rd, Summerfield
Estimator: Sergio Quintana
Project Manager: Charles Delphias
Work Performed: Metal Stud Framing, Drywall, Insulation, Acoustical Ceiling
Contract Amount: $441,767.00
Completion Date: 10/28/11

Project Name: H & S Cafeteria
General Contractor: David Hill Builders, Inc
Project Address: 320 Lees Chapel Rd, Greensboro
Estimator: Rene Castillo
Project Manager: David Barbour
Work Performed: Metal Stud Framing, EIFS, Drywall, Insulation and FRP
Contract Amount: $64,900.00
Completion Date: 07/28/11

Project Name: Renfro Office Alteration/Addition
General Contractor: J.G. Coram Company, Inc.
Project Address: Winston Salem NC
Estimator: Rene Castillo
Project Manager: Bill Johnson
Work Performed: Metal Stud Framing, Drywall, Insulation, Acoustical Ceiling
Contract Amount: $33,843.00
Completion Date: 08/11/11

Project Name: PLAZA DATA CENTER UPGRADES
General Contractor: I.L. LONG CONSTRUCTION
Project Address: WINSTON-SALEM
Estimator: Rene Castillo
Project Manager: w. Edward Craver
Work Performed: Demo, Metal Stud Framing, Drywall, Acoustical Ceiling
Contract Amount: $38,086.00
Completion Date: 07/20/11

Project Name: Duke Primary Care Mebane
Owner: Westgate Plaza 1 Ltd.
Architect: Barber Architects
General Contractor: Mixon Construction Co., Inc.
Contract Amount: $ 22,504.00
Completion Date: 03/11

Project Name: Skyline
Owner: Skyline
General Contractor: Holden Building Company, Inc.
Contract Amount: $ 57,269.00
Completion Date: 01/11

Project Name: KB Reynolds Hospice & Palliative Care
Owner: Hospice & Palliative Care
Architect: Walter Robbs Callahan & Pierce Architects, PA
General Contractor: I.L. Long Construction Co., Inc.
Contract Amount: $ 180,798.75
Completion Date: 01/11

Project Name: Arbor Acre Courtyard Houses #10-159
Owner: Arbor Acres United Methodist Retirement Community
Architect: LAMBERT Architecture & Interiors
General Contractor: I.L. Long Construction Co., Inc.
Contract Amount: $ 31,608.00
Completion Date: 12/10

Project Name: The Elkin Center
Owner: The Elkin Center
Architect: Seed Architecture
General Contractor: GARANCO, INC.
Contract Amount: $ 107,542.00
Completion Date: 11/10

Project Name: Downtown Elementry School
Owner: Forsyth County Schools
Architect: Ersoy Brake Appleyard P.A.
General Contractor: Davie Construction Company
Contract Amount: $ 187,299.53
Completion Date: 08/10

Project Name: Pilot Mountain Middle School
Owner: Surry County Schools3
Architect: Little Diversified Architectural
General Contractor: John S. Clark Company, LLC
Contract Amount: $ 145,700.00
Completion Date: 08/10

Project Name: Moore Elementry School
Owner: Forsyth County Schools
Architect: Ersoy Brake Appleyard Architects
General Contractor: Triad Builders of King
Contract Amount: $ 267,2930.00
Completion Date: 01/10

Project Name: Total Woman's Care
Architect: ADA, PLLC
General Contractor: GRANCO, INC.
Contract Amount: $ 25,000.000
Completion Date: 01/10

Project Name: Guilford County Health Bldg
Owner: Guilford County
Architect: Efird Sutphin Pearce & Associates
General Contractor: John S. Clark Company, LLC
Contract Amount: $ 54,945.00
Completion Date: 12/09

Project Name: Parkland High School New Classroom Building
Owner: Forsyth County Schools
Architect: Ersoy Brake Appleyard Architects
General Contractor: Triad Builders of King
Contract Amount: $ 85,000.00
Completion Date: 10/09

Project Name: First Presbyterian Church
Owner: First Presbyterian Church High Point, NC
Architect: WKWW, Inc.
General Contractor: I.L. Long Construction Co.,Inc.
Contract Amount: $ 363,825.00
Completion Date: 09/09

Project Name: Winston-Salem Police Department
Owner: City of Winston-Salem
Architect: Owen Architecture
General Contractor: Davie Construction Co.
Contract Amount: $ 305,055.00
Completion Date: 08/09

Project Name: Canterbury School Art Building
Owner: Guilford County Schools
Architect: TTF Architects & Planners LLP
General Contractor: Frank L. Blum Construction Co.
Contract Amount: $ 196,310.00
Completion Date: 07/09

Project Name: Appalachian State University (Frank Residence Hall Renovations)
Owner: Appalachian State University
Architect: Calloway Johnson Moore & West, P.A.
General Contractor: New Atlantic Contracting Inc.
Contract Amount: $ 188,560.00
Completion Date: 06/09

Project Name: Guilford County Courthouse Renovation
Owner: County of Guilford
Architect: J. Hyatt Hammond Associates
General Contractor: Morlando-Holden Construction Inc.
Contract Amount: $ 407,214.00
Completion Date: 03/09

Project Name: NC A&T State Corbett Intramural-Center Annex
Owner: NC A&T State University
Architect: Corley Redfood Zack Inc.
General Contractor: New Atlantic Contracting Inc.
Contract Amount: $ 421,631.00
Completion Date: 06/08

Project Name: Forsyth Technical Community College
Owner: Forsyth County Schools
Architect: Ersoy Brake Appleyard Architects
General Contractor: Triad Builders of King
Contract Amount: $ 415,676.00
Completion Date: 05/08

Project Name: Reynolds H.S. Performing Arts and Cafeteria-27002
Owner: Winston-Salem/Forsyth County Schools
Architect: Ersoy Brake Appleyard Architects
General Contractor: Davie Construction Co.
Contract Amount: $ 111,818.00
Completion Date: 04/08

Project Name: Moses Cone Health System
Owner: Moses Cone Health System
Architect: Teague Architects & Planners LLP
General Contractor: Landmark Builders
Contract Amount: $ 118,548.00
Completion Date: 01/08

Project Name: Winston-Salem Dermatology
Owner: Novant Health Inc.
Architect: Wright MacGraw Beyer Architects
General Contractor: Landmark Builders
Contract Amount: $ 70,528.00
Completion Date: 10/07

Project Name: Windsor Jewelers
Owner: Windsor Jewelers
Architect: Walter Robbs Callahan & Piece Architects PA
General Contractor: I.L. Long Construction Co., Inc.
Contract Amount: $ 153,410.00
Completion Date: 10/07

Project Name: Forsyth County Register of Deeds
Owner: W.S. Forsyth County
Architect: Esroy Brake Appleyard Architects
General Contractor: Davie Construction Co.
Contract Amount: $ 75,237.00
Completion Date: 09/07

Project Name: Jeff's RV Superstore
Owner: Jeff RV Superstore
Architect: Wilson & Lysiak Inc.
General Contractor: Davie Construction Co.
Contract Amount: $ 101,934.00
Completion Date: 10/06

Project Name: Administrative Office Carolina Farm Credit Statesville, NC
Owner: Carolina Farm Credit
Architect: J. Aubrey Kirby Design
General Contractor: I.L. Long Construction Co, Inc.
Contract Amount: $ 268,139.00
Completion Date: 11/05

100% of the cost of the work performed was made with Chavez Interiors , LLC own forces. (On all Projects)

3.5.1 State average annual amount of construction work performed during the last five years $ 4,000,000.00

3.6 List the construction experience and present commitments of the key individuals of your organization.

4. REFERENCES

4.1 Trade References:

        Interior Distributors Inc.
        Contact: Gwin Brooks
        Address: 1105 N New Hope Rd.                        Phone: 919-231-6355
                         Raleigh, NC 27610                               Fax: 919-231-4761


        Colonial Materials Inc.
        Contact: Vern Romine
        Address: 4602 Rozzelles Ferry Rd.                Phone: 704-392-0100
                         Charlotte, NC 28016                Fax: 704-392-0380

        Delta Gypsum LLC
        Contact: John Kindt
        Address: 1307 North White St.                         Phone: 919-562-3339
                         Wake Forest, NC 27587                         Fax: 919-562-9199

4.2 Bank References:

        BB&T
        Branch Banking & Trust Co.
        Address: 6000 University Parkway                        Phone: (336) 377-2107
                            Winston-Salem, NC 27105                    Fax: (336) 377-2100

4.3 Surety
4.3.1 Name of bonding company: The Ohio Casualty Insurance Company

4.3.2 Name and address of agent:

Tina B. Johnson
SB&T Insurance
199 N. Renfro St.
Mount Airy, NC 27030

5. FINANCING

5.1 Financial Statement
5.1.1 Attach a financial statement, preferablu audited, including organization's latest balance sheet and income statement showing the following items:

Current Assets (e.g., cash, joint venture accounts, accounts receivable, notes receivable, accrued income, deposits, material inventory and prepaid expenses);
Net Fixed Assets;
Other Assets;
Current Liabilities (e.g., accounts payable, notes payable, accrued expenses, provision for income taxes, advances, accrued salaries and accrued payroll taxes); and
Other Liabilities (e.g., capital, capital stock, authorized and outstanding shares per values, earned surplus and retained earnings).

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

CIMA CORP
Contact: Frank Iruela
421 Spring Garden St.
Phone: 336-508-5387
Greensboro, NC 27407

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 the 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 __________________________________________________________________X

6.1 Dated this __________________ day of ____________________________ 20_____

Name of organization: CHAVEZ INTERIORSD LLC

By: Jose G. Chavez

Title: President/Owner

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: ____________________________

Call Us Anytime 336.969.2669