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2. <br />9 <br />5. <br />C� <br />EXHIBIT G <br />CITY OF SANTA ANA <br />REQUEST FOR PROPOSALS FOR LANDSCAPE MAINTENANCE SERVICES - DISTRICTS 1 AND 3 <br />RESPONSIBLE PROPOSER — SUPPLEMENTAL QUESTIONNAIRE <br />How many years has your organization been in business in California as a contractor under your present <br />business name and license number? Palo Verde has been in Business over 15 Years over this past year. We <br />did a name change and started operating with a different licese. <br />If you performed same business under a different business name with same ownership and operation <br />management and changed name due to, but not limited to, bankruptcy, loss, or license, please complete <br />an additional and separate questionnaire. <br />What is your firm's average gross revenue for the last three years? $ 1,500,00.00 Per Year <br />Is your firm currently the debtor in a bankruptcy case? <br />❑ Yes ® No <br />If "yes," indicate the case number, bankruptcy court, and the date on which the petition was filed. <br />Case Number <br />Bankruptcy Court <br />Date Filed <br />Was your firm in bankruptcy any time during the last five years? (This question refers only to a <br />bankruptcy action that was not described in answer to Question 2, above.) ❑ Yes ® No <br />If "yes," indicate the case number, bankruptcy court, and the date on which the petition was filed. <br />Case Number Bankruptcy Court <br />Date Filed <br />Has any California State License Board license held by your firm or its responsible managing employee <br />or responsible managing officer been suspended within the last five years? ❑ Yes [� No <br />At any time in the last five years, has your firm been assessed and paid liquidated damages after <br />completion of a project, under a services contract with either a public or private owner? ❑ Yes ® No <br />Has your firm ever defaulted on a contract? ❑ Yes IN No <br />If "yes," explain on a separate page. <br />In the last five years has your firm, or any firm with which any of your company's owners, officers or <br />partners was associated, been debarred, disqualified, removed, or otherwise prevented from bidding on, <br />or completing, any government agency project for any reason? ❑ Yes 9 No <br />If "yes," explain on a separate page. State the name of the organization debarred, the year of the event, <br />the owner of the project, and the basis for the action. <br />In the past five years, has any claim against your firm concerning your firm's work on a project, been filed <br />in court or arbitration? ❑ Yes ® No <br />If "yes," on a separate page identify the claim(s) by providing the project name, date of the claim, name of <br />the claimant, the name of the entity the claim was filed against, a brief description of the nature of the <br />Districts 1 and 3 Park Landscape RFP <br />Page 70 <br />