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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 requirements may <br /> be considered sufficient justification to disqualify a Bidder. Attach additional sheets as required. <br /> Documentation Submitted with Project No: 1219 <br /> Project Name: -Roseland Lake Clearing and Dredging <br /> 1. Bidder's Name/Address: MANCIL'S TRACTOR SERVICE,INC. <br /> 4551 SE HAMPTON COURT,STUART,FL 34997 <br /> 2. Bidder's Telephone & FAX Numbers: (772)288-0951 OFFICE/(772)268-0983 FAX <br /> 3. Licensing and Corporate Status: <br /> a. Is Contractor License current? YES <br /> b. Bidder's Contractor License No: CGC 1516859 [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: 19 YEARS <br /> 5. What is the last project OF THIS NATURE that the firm has completed? <br /> VERO ISLES CANAL DREDGING <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 /> 00456-I <br /> R\Public Works\ENGINEERING DIVISION PROJECTS\1219-Roseland Lake Improvements\Hdmim\Master Contract Documents\00456-Qualifications Quesbonnaire.doc <br />