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a <br /> SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE <br /> NOTICE : 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 be considered sufficient justification to disqualify a Bidder. Attach additional sheets as _ <br /> required . <br /> Documentation Submitted with Project No: 0744 <br /> Project Name : 8"' Street Sidewalk Improvements from U .S. 1 to 6"' Avenue. <br /> 1 , Bidder's Name / Address : Melvin Bush Construction , Inc <br /> 2748 SW Casella St . , Port St , Lucie , FL 34953 <br /> 2 , Bidders Telephone & FAX Numbers : Ph ( 772 ) 335 - 0623 / Fax ( 772 ), 336 - 0488 <br /> _ 3 . Licensing and Corporate Status: <br /> a . Is Contractor License current? yes <br /> b . Bidder's Contractor License No : CUC1223819 [Attach a copy of Contractor's <br /> License to the bid] <br /> c. 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 /> of the type involved in this contract: 21 years <br /> 5 . What is the last project OF THIS NATURE that the firm has completed? <br /> Ferndale Ave Sidewalk / Martin County <br /> 6 . Has the firm ever failed to complete work awarded to you? 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 /> 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 /> for 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 /> [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 /> for each project in which OSHA violations were alleged .] <br /> 00456 - Qualifications Questionnaire.doc <br /> 00M - 1 <br /> FAEnglneerirQ Cegtal ProjectsNO744 - 8th St Sidewalk from U.S.1 to 61h AveW744 CONTRACT DOCUMEW WD456 - armee WWW CKN99k WreAM <br />