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SECTION 004.56 -- 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 -1325 <br />Project Name: 58LIAVENUE (FROM NORTH OF 57TH STREET TO 85.7" STREET) FULL <br />DEPTH RECLAMATION <br />Bidder's Name / Address: Timothy Rose Contracting <br />1360 SW Old Dixie Hwy Suite 106 Vero Beach FL 32962 <br />2. Bidder's Telephone & FAX Numbers: _ 772.564.7800 / 772.564.7888 <br />Licensing and Corporate Status: <br />a. Is Contractor License current? Yes <br />b. Bidder's Contractor License No: CGC052940 [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 all <br />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: 29 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />58th Ave Resurfacing/Reclamation <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 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 <br />for each project in which liquidated damages have been assessed.] <br />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 />00456 - Qualifications Questionnaire <br />00456- 1 <br />P:\Public Works\ENGINEERING DIVISION PROJECTS\1325 58th Avenue (57th St to CR 510) Roadway Inventory-Admin\Bids\Bid Documents\00456 - <br />Qualifications Questionnaire.doc <br />