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Gilbane Building Company 12 <br /> Prequalification Form for First-Tier Subcontractors under CM at Risk <br /> Orange County Crisis Diversion Facility <br /> 2.6. Failure to Complete,Supplementation or Breach of Construction Contract <br /> Has your company failed to complete work awarded to it within the last 15 years? =Yes =No <br /> If yes, state the project name(s),year(s), and reason why: <br /> Has your company asked to be relieved of or refused to sign a contract awarded to it within the last 15 years? <br /> =Yes I=No <br /> If yes, state the project name(s),year(s), and reason why: <br /> Has your company been denied an award of a contract based upon a finding by a public agency that your <br /> organization was not a responsible bidder within the last 15 years? =Yes I=No <br /> If yes, state the project name(s),year(s), and reason why: <br /> Has your company been declared in default of a construction contract within the last 15 years? =Yes =No <br /> If yes, state the project name(s),year(s), and reason why: <br /> Has your company been declared in breach of a construction contract within the last 10 years? DYes I=No <br /> If yes, state the project name(s),year(s), and reason why: <br /> Has your company been supplemented by another entity in performance of a construction contract within the last <br /> 10 years? DYes =No <br /> If yes, state the project name(s),year(s), and reason why: <br /> Has your company failed to complete a construction contract within the authorized schedule within the last 10 <br /> years? =Yes =No <br /> If yes, state the project name(s),year(s), and reason why: <br /> (Prequalification Ratings Matrix: If yes without sufficient explanation,give 0 points. If no, or if adequate explanation <br /> provided,give 10 points.) <br /> 2.7. Liquidated Damages <br /> Have you paid liquidated, actual or consequential damages on any project within the last 15 years? DYes =No <br /> If yes, state the project name(s),year(s), and reason why: <br /> (Prequalification Ratings Matrix: If yes without sufficient explanation,give 0 points. If no, or if adequate explanation <br /> provided,give 5 points.) <br /> Page 8 112 <br />