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9. <br />7us>Laticy Rade e4oc&4a4W r %.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 />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)r,�T <br />14. Name of on-site Project Foreman: Loyu-.0d 16eK <br />Number of years of experience with similar projects as a Project Foreman: z?0+ <br />15. Name of Project Manager: 1 i M rc_70i 'lam <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: <br />00456 - Qualifications Questionnaire <br />00456-2 <br />n.....-c......�:....1...- <br />