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SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE <br /> NOTICI THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON . <br /> RESPONSIBLE BIDDERS , <br /> UNDER PENALTY OF PERJURY, the undersigned Bidder Guarantees the truth and accuracy <br /> of all statements and answers herein contained . Failure to comply with these requirements <br /> may b.. considered sufficient justification to disqualify a Bidder. Attach additional sheets as <br /> required . <br /> Documentation Submitted with Project No : 1047 .2 <br /> Project Name : Indian River County Fairgrounds Phase 2 , Overflow and Vehicular Staging <br /> for Events of Fairgrounds <br /> 1 . {_udder' s Name / Address : MANCIL ' S TRACTOR SERVICE , INC . <br /> 4551 SE HAMPTON COURT , STUART , FL 34997 -- <br /> 2 . k= idder' s Telephone & FAX Numbers : 772 - 288 - 0951 OFFICE / 772 - 288 - 0983 FAX <br /> rrr <br /> 3 . Licensing and Corporate Status : <br /> i3. . Is Contractor License current ? YES <br /> L1 . Bidder' s Contractor License No : CGC1518859 [Attach a copy of Co ^ tractor' s <br /> License to the bid ] <br /> I; . Attach documentation from the State of Florida Division of Corporations that <br /> indicates the business entity' s status is active and that lists the names and titles of <br /> all officers . <br /> 4 . Number of years the firm has performed business as a Contractor in construction work <br /> Cf the type involved in this contract : 17 <br /> 5 . What is the last project OF THIS NATURE that the firm has completed ? <br /> OLD PALM CITY WATER QUALITY RETROFIT - MARTIN COUNTY BOCC <br /> 6 . Has the firm ever failed to complete work awarded to you ? NO <br /> lif your answer is " yes , then attach a separate page to this questionnaire that explains <br /> the circumstances and list the project name , Owner , and the Owner' s telephone number <br /> for 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 <br /> the circumstances and list the project name , Owner , and the Owner' s telephone number <br /> flor each project in which liquidated damages have been assessed . ] <br /> 8 , Has the firm ever been charged by OSHA for violating any OSHA regulations ? No <br /> 00456 - Qualifications Question naire . doc <br /> 00456 - � <br /> F Tubllc Wor¢stENGINEERING DIVISION PROJECTS\1047-2 IRC Fairgrounds Overflow & Vehicular Staging Phase 2\Admimlhid documents\00456 - Qualifications <br /> Questionnaire. Joc <br />