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QUALIFICATION QUESTIONNAIRE <br /> INFORMATION REQUIRED OF ALL BIDDERS <br /> NOTICE : THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NOW <br /> RESPONSIVE BIDDERS . <br /> UNDER PENALTY OF PERJURY, the undersigned Bidder Guarantees the truth and <br /> accuracy of all statements and answers herein contained . Failure to comply with these <br /> requirements may be considered sufficient justification to disqualify a Bidder. Attach <br /> additional sheets are required . <br /> 1 . Bidder's Name /Address : omni Pinnacle , LLC <br /> 90 Glen Court , Pearl River , LA 70452 <br /> 2 . Bidder's Telephone : 985-863-2991 & FAX Numbers 985-863-2845 <br /> 3 . Licensing and Corporate Status : <br /> a . Is Contractor License Current? Yes <br /> b . Contractor's License No : CBC056646 (Attach copy to bid ) <br /> c . Attach documentation from State of Florida Division of Corporations that <br /> indicates the business entity' s status is active and that lists the names and <br /> titles of all officers . <br /> d . If Bidder is not a licensed Contractor, attach documentation on the <br /> qualifications of all key staff by position . Describe education , experience and <br /> training . Describe experience with Maintenance of Traffic , damage repairs , job <br /> site safety, protection of public , working with heavy equipment and removal of <br /> hazardous and bio-hazardous waste . Also , identify staff experience working <br /> with governmental entities and list those projects . <br /> 4 . Number of years the firm has performed business as a Contractor in work of the <br /> type involved in this contract : 20+ years <br /> 5 . What is firm 's bonding capacity? $ 40 Million <br /> 6 . Attach to this questionnaire , a notarized financial statement and other information <br /> that documents the firm 's financial strength and history . <br /> 7 . Attach a list of at least three (3 ) separate and verifiable clients . At least on of the <br /> client references shall be for a disaster recovery project . <br /> 8 . Attach a detailed description of the Contractor' s organizational structure , "chain of <br /> command " of Contractor's response team and project management methods . <br /> Provide the name and address of Subcontractors and detail the intended scope of <br /> their work . <br /> 9 . Attach a list of types and quantities of recovery equipment , availability of <br /> equipment , estimate of workload , and future commitments to other emergency <br /> response contracts . The Contractor must provide reasonable assurance that all <br /> equipment identified for disaster recovery will be available and are not <br /> contractually obligated to other projects . <br /> Page 16 of 30 <br /> F :\Purchasing\Bids\2010-2011 FY (2011000)\2011040 Disaster Debris Removal and disposal Contract\2011040 Hurricane Debris <br /> Removal Bid Doc.doc <br />