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10. 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 the <br /> circumstances and list the project name , Owner, and the Owner's telephone number for <br /> each project.] <br /> 11 . Attach to this questionnaire , a notarized financial statement iiand other information that <br /> documents the firm's financial strength and history. see attached FDOT pre - qualification letter <br /> 12 . 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 the <br /> circumstances and list the project name, Owner, and the Owner's telephone number for <br /> each project in which a default occurred .] <br /> 13. Attach a separate page to this questionnaire that summarizes,: the firm's current workload <br /> and theit demh ogstrates its f lliXto meet the project schedule . <br /> see a tac a status o c tracts <br /> 14. Name of person who inspected the site of the proposed work for the firm. <br /> Name: Rick Forl i f er Date of Inspections: 11 / 7 / 12 <br /> 15. Name of on-site Project Foreman: Bruce Bigelow <br /> Number of years of experience with similar projects as a Project Foreman : 3 0 <br /> 16. Name of Project Manager: Rick Shepherd <br /> Number of years of experience with similar projects as a Project Manager: 35 <br /> 17 . State your total bonding capacity: 400 , 000 . 000 <br /> 18. State your bonding capacity per job: 50 , 000 , 000 <br /> 19 . Please provide name , address , telephone number, and contact person of your <br /> bonding company: Surety Agency , LLC 552B New Haw Creek Rd , <br /> Asheville , NC 28801 ( 828 ) 23671000 <br /> Agent : Karen Beard <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnaire,doc <br /> 00456 - 2 <br /> FAPublic WorkMENGINEERING DMSION PROJECTSOU5 Wh Ave SR60 to 571h SI (Aroadis)Wdmlmteld D00umePos10045S - OuaOfieetiom Questiwnaire.doo <br />