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[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 />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? / <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 />X12. 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. > ickir I <br />14. Name of on-site Project Foreman: <br />Date of Inspections: ( l / 1 l <br />eseccr <br />Number of years of experience with similar projects as a Project Foreman: <br />15. Name of Project Manager: S hog n� <br />Number of years of experience with similar projects as a Project Manager: <br />16. State your total bonding capacity /SO K <br />r <br />17. State your bonding capacity per job: 75 Q. is <br />18. Please provide name, address, telephone number, and contact person of your <br />bonding company: i .9f I. Si 7-- Se21>— <br />[The remainder of this page was left blank intentionally] <br />00456 - Qualifications Questlonnaire.doc <br />00456 - 2 <br />F:\Public Works ENGINEERING DIVISION PROJECTS\1213-IRC Shooting Range -Skeet & Trap Improvemnts & Hunters Train Bldg\Admim\bid documents\Contract <br />Documents100456 - Qualifications Questionnaire.doc <br />