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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 p y requirements may <br /> be considered sufficient justification to disqualify a Bidder . Attach additional sheets as required . <br /> Documentation Submitted with Bid No : 2011012 <br /> Project Name : Quail Creek Subdivision <br /> 1 , Bidder ' s Name / Address : - <br /> Vvt <br /> C1 > w CA (c l <br /> 2 . Bidders Telephone & FAX Numbers . a K e. <br /> 3 . Licensing and Corporate Status : <br /> a . Is Contractor License current ? � E <br /> b . Bidder' s Contractor License No : C- Ca ,, 2 q 6% [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 all <br /> 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 : �� L tic4� <br /> 5 . What is the last project OF THIS NATURE that the firm has completed ? <br /> 6 . Has the firm ever failed to complete work awarded to you ? <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 ? ) () <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 ? d <br /> [ If your answer is ciyes , 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 /> 00456 - t <br /> FAEngineering\Land Development Permits\Quail Creek PD\Bid -Contract Documents\00456 - Qualifications Questionnaire .doc <br />