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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 -1764 <br />Project Name: INDIAN RIVER COUNTY COURTHOUSE ROOF REPLACEMENT <br />1. Bidder's Name / Address: Atlantic Roofing II of Vero Beach Inc <br />4310 45th Street Vero Beach, FL. 32967 <br />2. Bidder's Telephone & FAX Numbers: 772-492-8493/772-257-5740 <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? Yes <br />b. Bidder's Contractor License No: CCC1326188 <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: 12 <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />Tlndian River county Main Library <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 />F:\PublicWorksNENGINEERING DIVISION PROJECTS\1764 IRC Courthouse Roof Replacement\1-Ad min\Bids\Bid Documents\Master Bid Documents\DIV 0 2 Bidding <br />Documents - 20201002.docx <br />