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SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE NOTICE: THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON- ' RESPONSIBLE BIDDERS. UNDER PENALTY OF PERJURY, the undersigned Bidder Guarantees the truth and accuracy ' of all statements and answers herein contained . Failure to comply .with these requirements may be considered sufficient justification to disqualify a Bidder. Attach additional sheets as required . Documentation Submitted with Project No : 0386 Project Name: Pelican Island National Wildlife Refuge Upland Restoration 1 . Bidd r N / Addres ; Sitewerks , Inc. �iDSr� Avenue 2. Bidder's Telephone & FAX Numbers : Phone : (772) 564-8281 Fax: (772) 3 . Licensing and Corporate Status : a . is Contractor License current? Yes b. Bidders Contractor License No: U [Attach a copy of Contractor's License to the bid] c. Attach documentation from the State of Florida Division of Corporations that indicates the business entity's status is active and that lists the names and titles of fall officers. J 4 . Number of years the firm has performed business as a Contractor in , construction work of the type involved in this contract: 3 5. W atIt i? the��stcRrgLTcats?F TH85 Hall NATURE that the firm has completed ? rk 6 . Has the firm ever failed to complete work awarded to you? No ' [If your answer is "yes , then attach a separate page to this questionnaire that explains — the circumstances and list the project name, Owner, and the Owner's telephone number ' for each project in which the firm failed to complete the work .] 7. Has the firm ever been accessed liquidated damages? No ' [If your answer is "yes , then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number for each project In which liquidated damages have been accessed .] ' 8 . Has the firm ever been charged by OSHA for violating any OSHA regulations? No ' [if your answer is "yes, then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number r� r e% ., ifth „ reNtArt 7n whir+ rVCHA violations were aliened .