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SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE <br />NOTICE: THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON- <br />RESPONSIBLE <br />OWRESPONSIBLE 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 -1716 <br />Project Name: GO -LINE BUS TURN-OFF CR 610 (901 AVENUE) <br />1. Bidder's Name / Address: Cathco Inc. <br />5650 41st Street, Vero Beach, FL 32967 <br />2. Bidder's Telephone & FAX Numbers: <br />772-562-8814 Fax 772-562-0173 <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? Yes <br />b. Bidder's Contractor License No: CGC1 520662 [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 />River Village Grand Harbor <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 />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 <br />00456 - t <br />I*APtibI1cWatks*NGINEERING DIVISION PROJECTS11715 Go -Line Bus Tuin-Off(90thAvenuH)\I.Adniir,\Bld Doeuirems'Masier ContsactDocuments%00456 -Quafifications <br />Ouestiom.aire.dor <br />