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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. W ; I l provt � r �(,poem <br /> 11 . Has the firm ever defaulted on any of its projects ? ( O 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 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 : S; Y>nyJ ; 6( Yria_t1r� Date of Inspections : Iz "- � 1C) <br /> 14 . Name of on -site Project Foreman : <br /> Number of years of experience with similar projects as a Project Foreman : J- O v ea- -S <br /> 15 . Name of Project Manager: -Ti ng <br /> Number of years of experience with similar projects as a Project Manager: ;30 �jFc� ;,S <br /> 16 . State your total bonding capacity: f Cy 0Of 0U 0 nC) <br /> 17 . State your bonding capacity per job : yt 5CUoi 0004 00 <br /> 18 . Please provide name , address , telephone number, and contact person of your <br /> bonding company: Co (�S ]--a. 1 Brindinci Tot-in -> ckrriS , 5 (, l - 153 - 55q ` I <br /> IICI ,� LI, roresl- Hi ( I 6ivcA . � 5 ( kite. - 3x23 <br /> �Ve I II #elytvnj F- L 3341y- <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Question naire .doc <br /> 00456 - 2 <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS\0550 SR60&58th Ave Intersection Improvements (KHA)\Admlm\Bld Documents\00456 - Qualifications <br /> Quesllonnalre.doc <br />