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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 -1801A <br />Project Name: INDIAN RIVER COUNTY COURTHOUSE PARKING GARAGE <br />REHABILITATION <br />Bidder's Name / Address: One Source Restoration & Buildina Services, Inc <br />2. Bidder's Telephone & FAX Numbers: 813-462-9040 & 813-200-2291 <br />Licensing and Corporate Status: <br />a. Is Contractor License current? Yes. <br />b. Bidder's Contractor License No: 1520102 <br />[Attach a copy of 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 <br />of all officers. <br />4. Number of years the firm has performed business as a Contractor in construction work of <br />the type involved in this contract: 7 years <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />DMS Parking Garage - Contract value: 700K <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 <br />number for each project in which the firm failed to complete the work.] <br />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 <br />number 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 <br />number 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 />Qualifications Questionnaire - 00456 - 1 <br />FAPublic Works\ENGINEERING DIVISION PROJECTSM01A IRC Courthouse Parking Garage Rehabi1itation\1-Adntln\Bids\Bid Docurnents\Bid DcumentsTrV 0_2_Bidding <br />Documents.dom <br />