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JI <br /> 1,0 . Attach to this questionnaire, a notarized financial stateme a d other information that <br /> documents the firm's financial strength and history. <br /> 11 . Has the firm ever defaulted on any of its projects? _VD <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 /> J 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: l ► 1'Y1pcc' a Date of In�speecti n p <br /> l 14. Name of on-site Project Foreman : �GI�Ur ►d1 VO 6 <br /> JNumber of years of experience with similar rojects as a Project Foreman : T <br /> 15 . Name of Project Manager: IYYI D <br /> J Number of years of experience with similar projects as a Project Manager: CQ d� _uS t <br /> J 16 . (a) Please state your bonding capacity per project. <br /> 1 due (111 Ilion <br /> J ( b) Please state your total bonding capacity. <br /> 1 Gk\�e _ V1 111 (w) <br /> J <br /> (cLXleaseRrovide name , address and contact person of our bonding company. <br /> b rrcL C- &)b &rra s I� — <br /> cg;55 - Qs�55 4' * cdt (asps <br /> 33475 <br /> 17. What percentage of the total project will be performed by the firm's personnel ? <br /> 18. Attach a separate page to this questionnaire that lists the firm's construction equipment <br /> that will be used on this project. Also , list the construction equipment that the firm will <br /> rent for this project . <br /> 1 [The remainder of this page was left blank intentionally] <br /> J <br /> J <br /> 1 00456 - Qualifications Questionnaire.doc <br /> J <br /> 00456 - 2 <br /> F.Wusic Woi*aGapital Projects\SR Al A & CR 510 Tum Lanes-IRC 9701\BID DOCUMENTS 2006079\00656 Qualifications Questionnaire.aoc Rev. 05/01 <br />