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9I Has the firm ever been charged with noncompliance of any public policy or rules? <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? J <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 <br />14 <br />15 <br />16. <br />17 <br />Name of person who inspected the site of the proposed work for the firm: <br />�— <br />Name: ( 1 W1 C 0 S� Date of Inspections: bq� <br />Name of on-site Project Foreman: <br />Number of years of experience with similar projects as a Project Foreman: �s�`_ <br />Name of Project Manager: <br />Number of years of experience with similar projects as a Project Manager:-���,1��, <br />State your total bonding capacity: <br />State your bonding capacity per job: <br />18. Please provide name, address, telephone number, and contact person of your <br />bonding company: <br />[The remainder of this page was left blank intentionally] <br />S�� <br />00456 -Qualifications ouestionnaire.doc <br />00456 - 2 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1024-17th Slreel and IR Blvd Inlersection\Admim\Contract Documents\00456 - Qualifications Questionnaire.doc <br />