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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 / C s s p p �.-V 41 Pftd Adoa*Aft �+� 12agviRwp 13. Name of person who inspected the site of the proposed work for the firm: Name: ;J , &,, X x,,3 e 200,, y f Date of Inspections: .sem .J,y 14. Name of on-site Project Foreman: �,} .sem, Number of years of experience with similar projects as a Project Foreman: a o YRwto 15. Name of Project Manager: IL k „S LV. PL 1 ` 14 Number of years of experience with similar projects as a Project Manager: Qv A IL so 16. What is the firm's bonding capacity? — /vim o p [The remainder of this page was left blank intentionally] 00456 - Qualifications Questionnaire 00456-2 tr: MA l...... ""A fl:.n 1.. OCK. peel MA nasac iMnziro Anr