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' SECTIONL <br /> �.�_��_��_�_�����' <br /> ',�}T|{}E: THE OWNER RETAINS T�E <br /> TO REJECT THE BIDS [)F N{)N' <br /> - =-SPONS/BLEB|DDER8. <br /> JNDER PENALTY OF PERJURY. the undersigned Bidder Guarantees and aoounacy <br /> �' all statements and answers herein contained. Failure to comply with these requirements <br /> NN --3/ be C0O8id8ned sufficient justification to disqualify 8 Bidder. Attach additional sheets as <br /> '=-zui[ed. <br /> NN <br /> Documentation Submitted with Project Nm: 0846B <br /> � <br /> Project Name: K]|d Dixie Highway Sidewalk Improvements <br /> U� /38^^ Lane to45"' Street) <br /> Bidder's Name / <br /> IN() �LaOL-Et6M <br /> � <br /> Bidder's Telephone & FAX Numbers: <br /> � <br /> Licensing and Corporate EKEtus'. <br /> a. Is Contractor License current? <br /> b. Bidder's Contractor License No: [Attach G copy of Contractor's <br /> License to the bid] <br /> u. Attach documentation from the State of Florida Division of Corporations that <br /> N& indicates the business entity's status is active and that lists the names and titles of^ <br /> all officers. <br /> N* � <br /> Number ofyears the firm has performed business as a Contractor in construction work <br /> — ufthe type involved inthis contract: <br /> VVh8t is the last project DF THIS NATURE that thfirmhcompleted? <br /> mm 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, (]vvner. 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? 90 <br /> [if your answer iS "y8S". then attach aseparate page tOthis questionnaire that explains <br /> � <br /> the Ci[CUOOStGDCeS and list the project D8Dle. C)VvD8r, and the Owner's telephone number <br /> for each project inVVhiCh |iqUid8teddannGg8Sh@v8baeD8GS8oSed.] <br /> � 8. Has the firm ever been charged by OSHA for violating any OSHA regulations? <br /> UO*o_;z 3nnaire. oo <br /> 00456 i <br /> � cm°cu=entsand uetlmqs�rn"="u"= u"mr ^ ,�irn",n/"m01_1<21\00456-Qualifications Questionnaire do" <br />