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[ If your answer is " yes , then attach a separate page to this questionnaire that explains <br /> t: he circumstances and list the project name , Owner, and the Owner' s telephone number <br /> or each project in which OSHA violations were alleged . ] <br /> 9 . -las the firm ever been charged with noncompliance of any public policy or rules ? <br /> NO <br /> jf your answer is " yes , then attach a separate page to this questionnaire that explains <br /> i: l`le circumstances and list the project name , Owner, and the Owner' s telephone rlumber <br /> `,ir 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 . lHas 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 /> iJhe circumstances and list the project name , Owner, and the Owner' s telephone number <br /> '.or 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 /> [' fame : DON R . MANCIL , JR . Date of Inspections : 02 / 01 / 2012 <br /> 14 . '` fame of on -site Project Foreman : JAMES GRIER <br /> :`lumber of years of experience with similar projects as a Project Foreman : 10 <br /> 15 . Name of Project Manager: DON R . MANCIL , JR . <br /> :"Dumber of years of experience with similar- projects as a Project Manager: - 20 <br /> 16 . State your total bonding capacity : $ 5 , 000 , 000 , 00 <br /> 17 . ::tate your bonding capacity per job : $ 3 , 000 , 000400 <br /> 18 . Please provide name , address , telephone number , and contact: person of your <br /> bonding company : BOB BARRA , 9373 W . SAMPLE ROAD SUITE 206 , CORAL SPRINGS , FL 33065 <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnaire. doc <br /> 00456 - 2 <br /> F \Public Vt DI s\ENGINEERING DIVISION PROJECTS\ 1047-2 IRC Fairgrounds Overflow & Vehicular Staging Phase 2\4dmiralbid documents\00456 - Qualifications <br /> Questionna ; na doc <br />