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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 -1914A <br />Project Name: JACKIE ROBINSON TRAINING COMPLEX – VILLAS REMODEL <br />2 <br />Idder's Telephone & FAX Numbers: <br />3. Licensing and Corporate Status: <br />a. Is Contractor License current? <br />b. Bidder's Contractor License No..CQ,C l <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: <br />5. What is the last project OF THIS NATURE that the firm has completed? <br />R- — , 1 <br />6. Has the firm ever failed to complete work awarded to you? \�'l o <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?O <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? _ <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? S <br />Qualifications Questionnaire - 00456 - 1 <br />F \Public Works\ENGI NEE RING DIVISION PROJECTS\191 ekrE Robinson Training Center - Villas RemodeR1-Admin\Bids\6id Documents\Bid Docs - Villas\Master <br />Contract Documents\DIV 0_2_Bidding Documents - 20201002.docz <br />Inc <br />ODD+ <br />