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MTN <br /> 9 . Has the firm ever been charged with noncompliance of any public policy or rules ? <br /> I.� D <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 . CwECAQ przwlor, V900 Prc Egr> <br /> 11 . Has the firm ever defaulted on any of its projects ? t <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 : Pk� L- S-r1F'�L({�- V• P, Date of Inspections : S/ 3 20 t l <br /> 14 . Name of on-site Project Foreman : Russ 1> � X - ( 64tat, 6 <br /> Number of years of experience with similar projects as a Project Foreman : <br /> 15 . Name of Project Manager: �m us GN — ce, V ►��T <br /> Number of years of experience with similar projects as a Project Manager: lg .o r <br /> 16 . State your total bonding capacity : '16 2S MkLLkaw-� Ritxl (3Lci As6-riGe ATF <br /> 17 . State your bonding capacity per jobS: M � �uot� PRo�c <br /> 18 . Please provide name , address , telephone number, and contact person of your <br /> bonding company : BEN FRr,� — Ww-oorLFt' C'usu � E 6o�N � <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnalre.doc <br /> 00456 - <br /> F:1Public Works\ENGINEEPJNG DIVISION PROJECTSA845-Dixic Hwy Sidewalk USI_69th (LAP)Wdmim\bid domnems\00456 - Qualifications Quesdonnaire.doc <br />