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J f°� f <br /> �� ��' eA � �� t <br /> s� ,� � � <br /> � ,'. F , <br /> ---.. 'r��/ � ` <br /> ❑ Yes ❑ No <br /> If your firm's average gross revenues for the last three years was less than $50 million <br /> scoring is as follows: <br /> 5 points for either "No" or "Yes" indicating 1 such instance. <br /> 3 points for "Yes" indicating 2 such instances. <br /> 0 points for "Yes" if more than 2 such instances. <br /> If your firm's average gross revenues for the last three years was more than $50 <br /> million, scoring is as follows: <br /> 5 points for either "No" or "Yes" indicating 1, 2, or 3 such instances. <br /> 3 points for "Yes" indicating either 4 or 5 such instances. <br /> 0 points for "Yes" if more than S such instances. <br /> 10. At any time during the past five years, has any surety company made any payments on your <br /> firm's behalf as a result of a default, to satisfy any claims made against a performance or <br /> payment bond issued on your firm's behalf in connection with a construction project, either <br /> public or private? <br /> ❑ Yes ❑ No <br /> S points for either "No" or "Yes" indicating 1 such claim. <br /> 3 points for "Yes" indicating no more than 2 such claims <br /> Subtract five points for "Yes" if more than 2 such claims <br /> 11. In the last five years, has any insurance carrier, for any form of insurance, refused to renew <br /> the inswance policy for your firm? <br /> ❑ Yes ❑ No <br /> S poinu for either "No" or "Yes" indicating 1 such instance. <br /> 3 points for "Yes" indicating 2 such instances. <br /> 0 points for "Yes" or if more than Z such instances. <br /> Pegs 77 d 26 <br /> �`)*i <br />