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� . " � . : �J <br /> :: � ;,: <br /> '�._;'{� u� 1i <br /> 12. Has your firm, or any of its owners, officers, or partners ever been found liable in a civil <br /> suit, or found guilty in a criminal action, for making any false claim or material <br /> misrepresentation to any public agency or entity? <br /> ❑ Yes ❑ No <br /> No = 5 points Yes = subtract 5 points <br /> 13. Has your firm, or any of its owners, officers or partners ever been convicted of a crime <br /> involving any federal, state, or local law related to construction? <br /> ❑ Yes ❑ No <br /> No = 5 points Yes = subtract S points <br /> 14. Has your firm or any of its owners, officers or partners ever been convicted of a federal or <br /> state crime of fraud, theft, or any other act of dishonest}/1 <br /> ❑ Yes ❑ No <br /> No = 5 points Yes = subtract 5 points <br /> 15. If your firm was required to pay a premium of more than one per cent for a performance <br /> and payment bond on any pmject(s) on which your firm worked at any time during the <br /> last three years, state the percentage that your firm was required to pay. You may provide <br /> an explanation for a percentage rate higher than one per cent, if you wish to do so. <br /> % <br /> S points if the rate is no more than one per cent <br /> 3 points if the rate was no higher than 1.10 per cent <br /> 0 points for any other answer. <br /> 16. During the last five years, has your firm ever been denied bond credit by a surety <br /> company, or has there ever been a period of time when your firm had no surety bond in <br /> place during a public conshuction project when one was required? <br /> ❑ Yes ❑ No <br /> No = 5 points Yes = 0 points <br /> Pags 1B W R6 <br /> `: <br /> "/ <br />