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i <br /> 9 . Has the firm ever been charged with noncompliance of any public policy or rules? <br /> No <br /> I [ 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 /> 1 <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 /> 1 <br /> 13 . Name of person who inspected the site of the proposed work for the firm : <br /> j Name : wade Diekman Date of Inspections : 9/ 16/11 <br /> 14. Name of on-site Project Foreman : Jay Diekman <br /> Number of years of experience with similar projects as a Project Foreman : 25 <br /> 15 . Name of Project Manager: Bruce Smith <br /> Number of years of experience with similar projects as a Project Manager: 17 <br /> 16 . State your total bonding capacity : 500, 000 , 000 <br /> 17 . State your bonding capacity per job: 25010001000 <br /> 18 . Please provide name , address , telephone number , and contact person of your <br /> bonding company: Aon Risk Services Northeast , Inc. <br /> One Federal St. , 20th Floor, Boston , MA 02110 <br /> Jean Freeney 617-482-3100 <br /> ti [The remainder of this page was left blank intentionally] <br /> i <br /> 00456 - Qualifications Questionnaire.doc <br /> 00456 - 2 <br />