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4 , <br /> 9. Has the firm ever been charged with noncompliance of any public policy or rules ? <br /> No <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? No <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 : Jason Fykes Date of Inspections : 11 / 7 / 12 , 11 / 14 / 12 <br /> 14. Name of on-site Project Foreman : Unknown at this time <br /> Number of years of experience with similar projects as a Project Foreman : <br /> 15. Name of Project Manager: Jason Fykes <br /> Number of years of experience with similar projects as a Project Manager: 12 <br /> 16. State your total bonding capacity: $ 20 , 000 , 000 <br /> 17 . State your bonding capacity per job: $ 1010 () 01000 <br /> 18 . Please provide name , address, telephone number, and contact person of your <br /> bonding company: Florida Surety Bonds , Susan Reicht <br /> 620 N . Wymore Road , Suite 200 <br /> Maitland , FL 32751 Ph : ( 888 786 - 2663 <br /> [The remainder of this page was left blank intenllonally] <br /> 00456 - Qualifications Questionnaire.doc <br /> 00456 - 2 <br /> F.Tublio WorWENGINEERING DMSION PROJECTS%l126 - RFP South Co Perk Multi Purpose FieldslAdmimlbld documentelContraet Documentsl00456 - Qusriflcetions <br /> Ouestionnaire.doc <br /> C <br />