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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 -1505 <br />Project Name: W" AVENUE ROADWAY WIDENING (49'" STREET TO 69' STREET) <br />Bidder's Name / Address: Halley Engineering Contractors, Inc. <br />13901 NW 118th Ave Miami FL 33178 <br />2. Bidder's Telephone & FAX Numbers: Telephone Number: 305-883-0055 <br />Fax Number: 305-883-0085 <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? Yes <br />b. Bidder's Contractor License No: CGC15195" <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. (Attached Copy) <br />d. FDOT Prequalification? Attached <br />4. Number of years the firm has performed business as a Contractor in construction work of <br />the type involved in this contract: 8 <br />What is the last project OF THIS NATURE that the firm has completed? <br />FDOT FIN:No.:427369-1-52-01, etc. Contract No. T6424, SR 997 (KromeAve), Miami -Dade. <br />Construction: 01/21/2020 to 01115/2021. Contract Amount $33,380,815.00 <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 />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 <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 />VAPublrc Worlts',ENGINEERING DIVISION PROJECTS11505.66N Ave Widening_49M St to 69th SP 1-AdmMilo DocumantskWSter Contract DocurnentsOIV 0_2 Bulomg <br />Documnts AOW <br />