TRUXAW, JOSEPH C. INC. 1-2014 - Laserfiche WebLink

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EXHIBIT G (REVISED) CITY OF SANTA ANA REQUEST FOR PROPOSAL FOR CONSTRUCTION SURVEYING SERVICES RESPONSIBLE PROPOSER — SUPPLEMENTAL QUESTIONNAIRE 1. How many years has your organization been in business in California as a contractor under your present business name and license number? 38 years If you performed same business under a different business name with same ownership and operation management and changed name due to, but not limited to, bankruptcy, loss, or license, please complete an additional and separate questionnaire. 2. What is your firm's average gross revenue for the last three years? $ 3,100,600.00 3. Is your firm currently the debtor in a bankruptcy case? ❑ Yes Eff No If "yes," indicate the case number, bankruptcy court, and the date on which the petition was filed. Case Number Bankruptcy Court Date Filed 4 Was your firm in bankruptcy any time during the last five years? (This question refers only to a bankruptcy action that was not described in answer to Question 2, above.) ❑ Yes ! No If "yes," indicate the case number, bankruptcy court, and the date on which the petition was filed. Case Number Bankruptcy Court Date Filed 6. Has any California State License Board license held by your firm or its responsible managing employee � ,spcns4bla Managing oico,' bean auo ended wlt!"In if a' i.., fi u Yes rLff iJu 6. At any time in the last five years, has your firm been assessed and paid liquidated damages after completion of a project, under a services contract with either a public or private owner? ❑ Yes No 7. Has your firm ever defaulted on a contract? ❑ Yes BJ No If "yes," explain on a separate page. 8. In the last five years has your firm, or any firm with which any of your company's owners, officers or partners was associated, been debarred, disqualified, removed, or otherwise prevented from biddinct on, or completing, any government agency project for any reason? ❑ Yes 3U No If "yes," explain on a separate page. State the name of the organization debarred, the year of the event, the owner of the project, and the basis for the action. 9. In the past five years, has any claim against your firm concerning your firm's work on a project, been filed in court or arbitration? ❑ Yes {� No City of Santa Ana - Public Works Agency Construction Surveying Services RFP Page 27 (ADDENDUM NO 3)