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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 />Documentation Submitted with Project No: IRC -1823 <br />Project Name: JUNGLE TRAIL SHORELINE STABILIZATION PROJECT. <br />1. Bidder's Name / Address: <br />2. Bidder's Telephone & FAX Numbers: <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? <br />b. Bidder's Contractor License No: [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: <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />6. Has the firm ever failed to complete work awarded to you? <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? <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? <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 />9. Has the firm implemented a drug-free workplace program in compliance with Florida <br />Statute 287.087? <br />00456 - Qualifications Questionnaire <br />00456 - <br />F \Public Works\ENGINEERING DIVISION PROJECTS\1823 Jungle Trail Shoreline Stabilization Project (2018)\1-Admin\Bid Documents\Master Contract Documents\06456 - <br />Qualifications Questionnaire.doc <br />