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'7us>Laticy �aQe �u�iact�.cq, �.cc. <br /> 1360 SW Old Dixie Hwy Suite 106 <br /> Vero Beach , FL 32962 <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 /> 9 . Has the firm ever been charged with noncompliance of any public policy or rules? <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 statement and other information that <br /> documents the firm ' s financial strength and history . 0. <br /> 11 . Has the firm ever defaulted on any of its projects? Q <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 curre_ `nt <br /> �-��C-1 <br /> workload and that demonstrates its ability to meet the project schedule . ct <br /> 13 . Name of person who inspected the site of the proposed work for the firm : <br /> Name : t Vv1 Date of Inspections : 17, 4Z QL)c)T <br /> 14 . Name of on -site Project Foreman : Z,rT puod 16eK <br /> Number of years of experience with similar projects as a Project Foreman : a � . <br /> 15 . Name of Project Manager . 1 k rYl <br /> Number of years of experience with similar projects as a Project Manager: ���' <br /> 16 . State your bonding capacity? 10 000 QCD <br /> 17 . State your bonding capacity per job : ( C 0 C�-C '-' <br /> 18 . Please provide Name , address , telephone number , and contact person of your bonding <br /> company : b <br /> 00456 - Qualifications Questionnaire <br /> 00456 - 2 <br /> c nC....:..e.,.inn\!` onild D.nie.-le\M1R_ 916 Clrnol Ro6410cn lg#O M,nn ,n end 4ill. Oi-..-.ano . c o : d n..... .........- nnncc n. ...c <br />.-..; ....- n. ....-c ......�:... .1...- <br />