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{ciCITY OF SUNNY l&ES:BEACH <br /> - 1$070:Collins'Avenue; ' <br /> > _ . `Sunny Isles Beechi;Florida 33160'. - Sil" <br /> .�"`_SCF , <br /> ' - 305 947 0606, o,7 \\r <br /> 44 <br /> - . . = _,-. .. ' i .- www.slbil n9i - uf' It.: <br /> r1n <br /> - <br /> .\.*: ;,.. <br /> .., "PSI--F h(P <br /> O <br /> Ecff Y of Do P' <br /> 7.2 QUESTIONNAIRE <br /> This Completed Form Must be submitted with the Bid. The City may, at its sole discretion, require that <br /> the Bidder submit additional information not included in the submitted form. Such information must be <br /> submitted with seven (7) 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 <br /> entity referenced in any response to any question in this questionnaire. The contractor, by completing <br /> this questionnaire, expressly agrees that any information concerning the contractor in possession of said <br /> entities 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. How many years has your company been in business under its current name and ownership? <br /> a. Professional Licenses/Certifications (include name and number)* Issuance Date <br /> Miami-Dade County 1593855 7/29/2016 <br /> Miami-Dade County - Pest Control - 5454996 7/29/2016 <br /> DBE FDOT Certification 11/8/2016 <br /> (*include active certifications of small or disadvantage business&name of certifying entity) <br /> b. Date company licensed by the State of Florida or Miami-Dade County: May 18, 1998 <br /> c. State and Date of Incorporation: Florida , 5/18/1998 <br /> d. What is your primary business? Grounds Maintenance <br /> (This answer should be specific) <br /> City of Sunny Isles Beach I Invitation to Bid No. 17-05-01 94 <br />