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CITY OF SUNNY ISLES BEACH <br />18070 Collins Ave. | Sunny Isles Beach, FL 33160 <br />305.792.1707 | sibfl.net | Purchasing@sibfl.net <br />8.2 QUESTIONNAIRE <br />This Completed Form Must be submitted with the Bid. The City may, at its sole discretion, require that the <br />Bidder submit additional information not included in the submitted form. Such information must be <br />submitted with two (2) Calendar Days of the City’s request. Failure to submit the form or additional <br />information upon request by the City will result in the rejection of the Bid as Non-Responsive. Additional <br />pages may be used following the same format and numbering. Some information may not be applicable. <br />In such instances insert “N/A”. All questions are to be answered in full without exception. <br />The City shall be entitled to contact every reference listed in response to this questionnaire, and each entity <br />referenced in any response to any question in this questionnaire. The contractor, by completing this <br />questionnaire, expressly agrees that any information concerning the contractor in possession of said entities <br />and references may be made available to the City. <br />Only complete and accurate information shall be provided by the Contractor. The Contractor hereby <br />warrants that, to the best of its knowledge and belief, the responses contained herein are true, accurate, <br />and complete. The Contractor also acknowledges that the City is relying on the truth and accuracy of the <br />responses contained herein. If it is later discovered that any material information given in response to a <br />question was provided by the contractor, knowing it was false, it shall constitute grounds for immediate <br />disqualification, termination, or rescission by the City any subsequent agreement between the City and the <br />Contractor. <br />A.Business Information <br />1.Howmanyyears hasyourcompanybeen in businessunder its current nameandownership? <br />a.Professional Licenses/Certifications (includenameand number)*Issuance Date <br />Hfofsbm!Dpousbdups!.!DHD2637974!0!Jssjhbujpo!TDD242262813:05029021033026 <br />JTB!Dfsujgjfe!Bscpsjtut!.!3! <br />2208026!'!8026035 <br />ECF!Dfsujgjfe!)Tff!Tfdujpo!3;!Rvbmjgjdbujpot!gps!gvmm!mjtu!pg!mjdfotft!boe!dfsujgjdbujpot* <br />(*include active certifications ofsmallor disadvantage business&name of certifyingentity) <br />Kvof-!3122 <br />b.Datecompanylicensedbythe StateofFloridaorMiami-DadeCounty: <br />June 21, 2011 <br />c.Stateand Dateof Incorporation: <br />Mboetdbqf!Nbobhfnfou-!Bscps!Dbsf- <br />d.What is yourprimary business? <br />(Thisanswer shouldbespecific) <br />Mboetdbqf!boe!Jssjhbujpo!jotubmmbujpo <br />e.Nameof licensed/certified employee(s), license/certification number,and relationship to <br />company: <br />DH-!Jssjhbujpo-!Bscpsjtu!.!Jwbo!D/!Wjmb-!Qsftjefou <br />Bscpsjtu!.!Besjbo!Sjwfsp!Ks/! <br />Tff!Tfdujpo!3;!Rvbmjgjdbujpot!gps!gvmm!mjtu!pg!mjdfotft!boe!dfsujgjdbujpot <br />ITB 24-06-02 CITYWIDE LANDSCAPING SERVICES 110 <br /> <br />