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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 /> AID UNDER PENALTY OF PERJURY, the undersigned Bidder Guarantees the truth and accuracy <br /> of all statements and answers herein contained . Failure to comply with these requirements <br /> may be considered sufficient justification to disqualify a Bidder. Attach additional sheets as <br /> required . <br /> Documentation Submitted with Project No : 0201 <br /> Project Name : INDIAN RIVER DRIVE SOUTH SIDEWALK IMPROVEMENTS <br /> s 1 . Bidder's Name / Address : c r Cc„I54-,-u c{-�,n `D • p <br /> ,q3A-% r-j3rir fkuz (� tP1t — Tir ,10 <br /> 2. Bidder's Telephone & FAX Numbers : Ph 1ij- ; ,z i - A, S q - O�i <br /> t 3X J3t - ,2S7 - SUO (� <br /> 3. Licensing and Corporate Status : <br /> a . Is Contractor License current? <br /> b . . Bidder's Contractor License No : ( G C ! S I i a 3 [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 <br /> all 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: 4 <br /> 5 . What is the last project OF THIS NATURE that the firm has completed? <br /> � t1a✓csitle Pu:vic.. i'le.ie�-i � t) t-{ �v✓lic �..2 fi ; ls�.�}i. <br /> 6 . Has the firm ever failed to complete work awarded to you? N 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 number <br /> for each project in which the firm failed to complete the work.] <br /> 7 . Has the firm ever been assessed liquidated damages? N 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 number <br /> a <br /> for each project in which liquidated damages have been assessed .] <br /> r <br /> MIN <br /> 0201 -00456 - Qualifications Questionnaire <br /> 00456 - i <br /> F.1EnglnaenngSCapiLtl ProjeCs1020L03126-Intlian River Drive Side lk-South-Mghland Drive SM0201 Indian River Dnve South Sidewalk - Conumt D=W201 -00456 - <br /> (l;alifirwlinne w.... 0.,.. ngmA <br />