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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 <br />may be considered sufficient justification to disqualify a Bidder. Attach additional sheets as <br />required. <br />Documentation Submitted with Project No: IRC -1621 <br />Project Name: INDIAN RIVER COUNTY COURTHOUSE JUDGE'S SECURITY UPGRADE <br />PROJECT <br />1. Bidder's Name / Address: Summit Construction of Vero Beach LLC <br />2837 Flight Safety Drive, Vero Beach, FL 32960 <br />2. Bidder's Telephone & FAX Numbers: phone 772-794-2099 fax 772-794-2097 <br />3. Licensing and Corporate Status: <br />a. Is Contractor,License current? yes <br />b. Bidder's Contractor License No: CBC 1259095 [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: 13 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />Vero Beach Shopping Center, Exterior Improvements & Parking Lot, Miracle Mile <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 />00456 - Qualifications Questlonnaire.doc <br />00456-I <br />FiPubec WorksIENGINEERNG DIVISION PROJECTS11621 IRC Courthouse Judges Security Upgrades11-Admtn1Bld DocumentsNRaster Contract Documenls100456 - <br />Quag6cations Questionnaire.doc <br />