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Indian River County Purchasing Division <br />1800 27th Street <br />Vero Beach, FL 32960 <br />Phone (772) 226-1416 <br />Bid Form _ Addendum 1 <br />Jones Pier Residences Repairs for PA -04 -FL -4283 -PW -00796(0) <br />Bid #: 2019058 <br />Bid Opening Date and Time: May 29, 2019 2:00 P.M. <br />Bid Opening Location: Purchasing Division <br />1800 27th Street <br />Vero Beach, FL 32960 <br />Finn Qua.liticaLions <br />1. Licensing and Corporate Status: <br />a. Bidder's State of Florida License Number(s): CBC 1259095 <br />b. Bidder's Indian River County Competency Card Number(s): COVB 12-001140 <br />c. Attach documentation from the State of Florida Division of Corporations that indicates the <br />business entity's status is active and that lists the names and titles of all officers. <br />2. Number of years the firm has performed business as a Contractor in construction work of the type <br />involved in this contract: 20 years <br />3. What is the last project OF THIS NATURE that the firm has completed? <br />Renovations at Building Q Radio Station at IRSC. Ft. Pierce <br />Downey Pavilions Replacement at Riverside Park, Vero Beach <br />4. 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 the <br />circumstances and list the project name, Owner, and the Owner's telephone number for each project in <br />which the firm failed to complete the work.] <br />5. 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 the <br />circumstances and list the project name, Owner, and the Owner's telephone number for each project in <br />which liquidated damages have been assessed.] <br />Page 16 of 36 <br />