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SECTION 00456 — QUALIFICATIONS QUESTIONNAIRE <br />NOTICE: THE OWNER RETAINS THE DIS£R€TION TO REJECT THE BIOS 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: XGD Systems, LLC <br />415 NW,Fjagler Avenue, Stuart, FL 34994 <br />Bidder's Telephone & FAX Numbers: 772 286-3419 / 772 286-2855 <br />Licensing and Corporate Status: <br />a. Is Contractor License current? YES <br />b. Bidder's Contractor License No: CGC1526424 [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 />ail officers. <br />Number of years the firm has performed business as a Contractor in construction work <br />of the type involved in this contract: 15 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />Rip rap work at Wynlakes Renovation Project, Montgomery, AL 2018 <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 4quidated 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 />8. 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 />9. Has the firm implemented a drug-free workplace program in compliance with Florida <br />Statute 287.087? Yes <br />00456 - Qualifications Questionnaire <br />00456 - t <br />F:\Public Works\ENGINEERING DIVISION PROJECTS \1823 Jungle Trail Shoreline Stabilization Project (2018)11-Admin\Bid Documents\Master Contract Documents 00456 - <br />Qualifications Questionnaire.doc <br />