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i <br /> i <br /> i <br /> SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE ' <br /> i <br /> NOTICE, THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON- i <br /> RESPONSIBLE BIDDERS , <br /> UNDER PENALTY OF PERJURY, the undersigned Bidder Guarantees the truth and accuracy of <br /> all statements and answers herein contained . Failure to comply with these requirements may be <br /> considered sufficient justification to disqualify a Bidder. Attach additional sheets as required . <br /> Documentation Submitted with Project No: 0612 <br /> f <br /> Project Name: Wabasso Beach Park Restoration j <br /> Ocean Gate General Contractors , Inc . I <br /> 1 . Bidder's Name / Address : } <br /> 2854 SE Federal Highway Stuart, FL 34994 <br /> 2. Bidder's Telephone, FAX Numbers & Email : <br /> Phone: (772) 283-6744 Fax: (772) 283- 1538 mark@ocean¢ategc.com I <br /> 3. Licensing and Corporate Status (NOTE: The bidder <br /> must be a licensed Contractor) : F <br /> a. Is the Contractor License current? Yes ` <br /> b . Bidder's Contractor License No: CG-C062839 [Attach a copy of Contractor's I <br /> L License to the bid] <br /> c. Attach documentation from the State of Florida Division of Corporations that indicates <br /> r,; the business entity's status is active and that lists the names and titles of all officers . <br /> d . Does Contractor have current file with Indian River County Building <br /> Department? Yes <br /> 4. Number of years the firm has performed business as a Contractor in construction work of <br /> the type involved in this contract: 7 years <br /> 5 . What is the last project COMPARABLE TO THIS PROJECT that the firm has completed? ! <br /> Jonathan Dickinson State Park Environmental Center Hobe Sound Florida <br /> 6 . Has the firm ever failed to complete work awarded to you? <br /> No <br /> [If your answer is "yes , then attach a separate page to this questionnaire that explains the <br /> circumstances and list the project . name , Owner, and the Owner's telephone number for <br /> each project in which the firm failed to complete the work.] ; <br /> 7 . Has the firm ever been assessed liquidated damages? No <br /> [If your answer is "yes , then attach a separate page to this questionnaire that explains the I <br /> circumstances and list the project name, Owner, and the Owner's telephone number for <br /> each project in which liquidated damages have been assessed .] <br /> it <br /> L rI <br /> Last Revised 12/2007 00456 - 1 Wabasso Beach Pk, Restoration F <br /> F:\Public Works\Cliff Suthard\Wabasso Beach Park\A Construction Bid Documents\Bid Documents as of 1 -9-2008\Div 0 AS OF 148- G <br /> 1110 2008\00456 - Qualifications Questionnaire.doc R <br /> L <br />