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SECTION 00456 --'QUALIFICATIONS QUESTIONNAIRE.- <br />NOTICE: <br />UESTIONNAIRE.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 -1719 <br />Project Name: ATLANTIC BOULAVARD PARKING AREA <br />1. Bidder's Name / Address: Timothy Rose Contracting <br />1360 SW Old Dixie Hwy Suite 106 Vero Beach. FL 32962 <br />2. Bidder's Telephone & FAX Numbers: 772.564.7800 / 772.564.7888 <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? yes <br />b. Bidder's Contractor License No: (-,GC 052g40 [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: 27 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />CR512 Resurfacing <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 Owners 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 ypur 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 />00456-1 <br />RkPuhlic Works\ENGINEERING DIVISION PROJECTS\1719 Atlantic Blvd Parkng Atea Project\i-Admin\Bid DowmentsWaster Contract Documents\00456 - Qualifications <br />Questionnaire,doc <br />