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Bid No. 2019005/IRC-1760 <br /> BIDDERS 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 of all <br /> statements and answers herein contained. Failure to comply with these requirements may be <br /> considered sufficient justification to disqualify a Bidder. Attach additional sheets as required. <br /> Documentation Submitted with Project No: IRC-1760 <br /> Project Name: VICTOR HART SR. COMPLEX DRAINAGE IMPROVEMENTS <br /> 1. Bidder's Name/Address: Guettler Brothers Construction, LLC <br /> 2. Bidder's Telephone & FAX Numbers: PH: 772-461-8345, Fax: 772-461-8039 <br /> 3. Licensing and Corporate Status: <br /> a. Is Contractor License current? Yes <br /> b. Bidder's Contractor License No: CGC1511503 [Attach a copy of <br /> Contractor's 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 of the <br /> type involved in this contract: 13 Years <br /> 5. What is the last project OF THIS NATURE that the firm has completed? <br /> South County Park General Use Field <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 for <br /> 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 for <br /> 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 /> Page 19 of 39 <br />