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4 <br />[If your answer is "yes, then attach a separate page to this questionnaire that explains <br />the circumstances and list the project name, Owner, and the Owner's telephone number <br />for each project in which OSHA violations were alleged.] <br />Has the firm ever been charged with noncompliance of any public policy or rules? <br />.No— <br />[If your answer is "yes, then attach a separate page to this questionnaire that explains <br />the circumstances and list the project name, Owner, and the Owner's telephone number <br />for each project.] <br />10. Attach to this questionnaire, a notarized financial statpment and other i fid orma ' t a <br />documents the firm's financial t ngth and history. J <br />11. <br />Has he�fn�v r defaulted on any of its projects? <br />[If your answer is "yes, then attach a separate page to this questionnaire that explains <br />the circumstances and list the project name, Owner, and the Owner's telephone number <br />for each project in which a default occurred.] <br />12. Attach a separate page to this questionnaire that summarizes the firm's current <br />workload and that demonstrates its ability to meet the project schedule. <br />13. Name of person who inspected the site of the proposed work for the firm: <br />Name: �-d"c.. Date of Inspections: " a <br />14. Name of on-site Project Foreman: Ir 0 c e., /Jo. -s <br />Number of years of experience with similar projects as a Project Foreman: <br />15. Name of Project Manager: <br />Number of years of experience with similar projects as a Project Manager: <br />16. State your total bonding capacity: <br />17. 00 <br />State your bonding capacity per job: �l �) ©�` <br />18. Please provide name, address, telephone number, and contact person of your <br />bonding company: C�,Ve 4 me r% r -v4 -+n lS <br />[The remainder of this page was left blank intentionally] <br />