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• CITY OF SUNNY ISLES BEACH • 18070 Collins Avenue Sunny Isles.Beach, Florida 33160 0'S�""Y tr,es� 305.947.0606 www,sibfl,net a P ,Se •s�r.09` �4P CifY OF SUN t" 7.2 QUESTIONNAIRE This Completed Form Must be submitted with the Bid. The City may, at its sole discretion, require that the Bidder submit additional information not included in the submitted form. Such information must be submitted with seven (7) Calendar Days of the City's request. Failure to submit the form or additional information upon request by the City will result in the rejection of the Bid as Non-Responsive. Additional pages may be used following the same format and numbering. Some information may not be applicable. In such instances insert"N/A". All questions are to be answered in full without exception. The City shall be entitled to contact every reference listed in response to this questionnaire, and each entity referenced in any response to any question in this questionnaire. The contractor, by completing . this questionnaire, expressly agrees that any information concerning the contractor in possession of said entities-and references may be made available to the City. Only complete and accurate information shall be provided by the Contractor. The Contractor hereby warrants that, to the best of its knowledge and belief, the responses contained herein are true, accurate, and complete. The Contractor also acknowledges that the City is relying on the truth and accuracy of the responses contained herein. If it is later discovered that any material information given in response to a question was provided by the contractor, knowing it was false, it shall constitute grounds for immediate disqualification, termination, or rescission by the City any subsequent agreement between the City and the Contractor. A. Business Information 1. How many years has your company been in business under its current name and ownership? 14 mom-ms a. Professional Licenses/Certifications (include name and number)* Issuance Date pES� CO JTtU , c,icec'cE J(bc57a3 4 (21(17 61,A 5(Ness TaX tf6(v443o c1/3o/go Punm5IN6 GbM Rrt.ToN. 7175goa 1(30/(G (*include active certifications of small or disadvantage business&name of certifying entity) b. Date company licensed by the State of Florida or Miami-Dade County: la /15 I CYS c. State and Date of Incorporation: FLOaAR la. 1 15[aS d. What is your primary business? FULA- SB-R.v(CSCRpe C,oNTtAGTe0. (This answer should be specific) 40 City of Sunny Isles Beach I Invitation to Bid No. 17-05-01 94