Laserfiche WebLink
1 <br /> SECTION 00456 - QUALIFICATIONS QUESTIONNAIRE <br /> NOTICE : THE. OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NOW <br /> RESPONSIBLE BIDDERS , <br /> 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 : 0217 <br /> ' Project Name : Powerline Road from C R 510 North to the Sebastian City Limits <br /> 1 . Bidder's Name / Ad ress : <br /> - 7 34AG LACSC <br /> 2 . Bidder' s Telephone & FAX Numbers : _�- `1 1 - I-1 l 0(1 <br /> 3 . Licensing and Corporate Status : <br /> a . Is Contractor License current? YeS <br /> b . Bidder' s Contractor License No : rack n,� -� [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: qR VeLLrs <br /> 5 . What is the last project OF THIS NATURE that the firm has completed? <br /> PNNn1XXC Works QC42 . <br /> NO <br /> 6 . Has the firm ever failed to complete work awarded to you? <br /> t [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? /uD <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 liquidated damages have been assessed . ] <br /> 8 . Has the firm ever been charged by OSHA for violating any OSHA regulations? n10 <br /> 00456 - Quaiifications Questionnaire <br /> 00456 - t <br /> FAEngir»erinytCapilal ProjeetsW217-Powerline Road\8id DocumentsW0456 - Qualifications QuesGonnaire.doc <br />