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[If your answer is "yes , then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number for each project in which OSHA violations were alleged .] 9 . Has the firm ever been charged with noncompliance of any public policy or rules ? dd [If your answer is "yes , then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number for each project.] 10 . Attach to this questionnaire , a notarized financial statement and other information that documents the firm 's financial strength and history . u., / [ of pp4 .y u Po ,. q wAgL ,b IR� of tq 4r 11 . Has the firm ever defaulted on any of its projects? L) o [if your answer is "yes , then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number for each project in which a default occurred .] 12 . Attach a separate page to this questionnaire that summarizes the firm' s current workload and that demonstrates its ability to meet the project schedule . w i / C s s p p I"y 41 P#& d tea* koaw / I40 13 . Name of person who inspected the site of the proposed work for the firm : Name : !;I', m, x ..3 e Date of Inspections : .sem . J, y 14 . Name of on-site Project Foreman : 1� ^ �/ .s AF�,a ,, -rz & Number of years of experience with similar projects as a Project Foreman : a o YRnA 15 . Name of Project Manager: PL i Number of years of experience with similar projects as a Project Manager: Qv Y� s 16 . What is the firm 's bonding capacity? — / vim a p o oX5 a [The remainder of this page was left blank intentionally] 00456 - Qualifications Questionnaire 00456 - 2 1 .: GA i...... ""A fl .... 1.. OCK. peel MA nasacfiMnziro Anr