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Bid No. 2019074/IRC-1826 <br />BIDDERS 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 -1826 <br />Project Name: NORTH COUNTY REGIONAL PARK AQUATIC FACILITY ROOF REPLACEMENT <br />1. Bidder's Name / Address: Tech systems Inc. <br />1801 North Wickham Road Suite 3 Melbourne, FL 32935 <br />2. Bidder's Telephone & FAX Numbers: Phone 321.259.2246 <br />Fax 321.255.0291 <br />3. Licensing and Corporate Status: <br />a. Is CONTRACTOR License current? Yes <br />b. Bidder's CONTRACTOR License No: CCCO16112 [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. V <br />4. Number of years the firm has performed business as a CONTRACTOR in construction work of <br />the type involved in this contract: 38 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />Brevard County Government Center North - Upper Roof Replacement <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 />[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 OSHA violations were alleged.] <br />Page 20 of 42 <br />