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i9 . 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 . \ <br /> 11 . Has the firm ever defaulted on any of its projects ? vC <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 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 : %-� �� J'<<r Date of Inspections : � - � - G> - <br /> 14 . Name of on - site Project Foreman : J D 0 <br /> Number of years of experience with similar projects as a Project Foreman : <br /> 15 . Name of Project Manager : i I ro ySie� <br /> Number of years of experience with similar projects as a Project Manager: o ► ' <br /> 16 . State your total bonding capacity : l_X.����k-- <br /> 17 . State your bonding capacity per job : 1(XJwJ�\ 'Irk <br /> 18 . Please provide name address telephone number , and contact person of your <br /> bonding company : 1 GLS Bar, ,ZA D-, � r <br /> BL5,k <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnaire . doc <br /> 00456 - 2 <br /> F :\Public Works\ENGINEERING DIVISION PROJECTS\ 1136-6th Ave SW_Culvert Replacement N of 23rd St SW\Admim\Contract Documents\00456 - Qualifications <br /> Questionnaire .doc <br />