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1 <br /> SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE <br /> NOTICE : THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NOW <br /> ! RESPONSIBLE BIDDERS . <br /> t UNDER PENALTY OF PERJURY, the undersigned Bidder Guarantees the truth and accuracy <br /> t 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 : 0391 <br /> Project Name : 27th Avenue Milling & Resurfacing ( Oslo Road to S . R . 60 ). <br /> 1 . Bidder' s Name / Address : Ranger Construction Industries , Inc . <br /> 4510 Glades Cut - off Road , Fort Pierce , Florida 34981 <br /> 2 . Bidder' s Telephone & FAX Numbers : 772 - 464 - 6460 / 772 - 466 - 9559 <br /> 1 <br /> 3 . Licensing and Corporate Status :a . Is Contractor License current? Yes <br /> b . Bidder' s Contractor License No : CGCO19416 [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 : 31 <br /> 5 . What is the last project OF THIS NATURE that the firm has completed? <br /> SR 60 - Indian River 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 /> t 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 /> 00456 - f <br /> F:\Pub1icWorksNENGINEERING DIVISION PROJECTS10391 .27Ih Ave at 5th St SWWdmlm\Contract Documenie\00456 - Qualifications Queslionnaire.doc <br />