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Alk <br />NOTICE: THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON - <br />RESPONSIBLE BIDDERS. <br />Documentation Submitted with Project No: IRC -1927 <br />Project Name: ROUND ISLAND PARK EMERGENCY AND HEAVY EQUIPMENT BEACH <br />ACCESS <br />Bidder's Name./ Address: DICKERSON FLORIDA INC. <br />3122 N. 25TH ST., FT. PIERCE, FL 34946 <br />2. Bidder's Telephone & FAX Numbers: (772) 429-4444 .PHONE, (772) 429-4445 FAX <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? YES <br />b. Bidder's Contractor License No: CGCO60797 [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: 38 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />FPL Fellsmere-Glendale ROW Site Prep Services <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 />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 -. I <br />FAPublic WofkMENGINEERINC, DIVISION PROJECTS11927 Round Island Beach--AccessU-AdminlBids1Bid DocurnentsWaste( Contract Documents=456 -Qualifications <br />Ouestionnaire.doi <br />