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[ 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 OSHA violations were alleged . ] <br /> 9 . Has the firm ever been charged with noncompliance of any public policy or rules? <br /> \i1 <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 . <br /> 11 . Has the firm ever defaulted on any of its projects? <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 /> Will 13 . Name of person who inspected the site of the proposed work for the firm : <br /> Name : l 1 tM., Q 0 sa , Date of Inspections : <br /> 14 . Name of on -site Project Foreman : IaI1_ D :� <br /> Number of years of experience with similar projects as a Project Foreman : rzs <br /> 15 . Name of Project Manager : t L V >A v <br /> 1 g <br /> Number of years of experience with similar projects as a Project Manager: cl ) 5v� ns <br /> 16 . State your bonding capacity? je QST <br /> 17 . State your bonding capacity per job : AAA2=��. �-pn <br /> 18 . Please provide Name , address , telephone number, and contact person of your bonding <br /> company : <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnaire <br /> 00456 - 2 <br /> FAEngineering\Capital Projects\0745 IR BLVD SIDEWALK 12th Street to 17th Street\0745 Contract Docs & Specs\00456 - Qualifications Questionnaire.doc <br />