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9 . 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 ? trJ <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 : 1 1 wA e 5_� - Date of Inspections : <br /> 14 . Name of on -site Project Foreman : "UL n <br /> Number of years of experience with similar projects as a Project Foreman : 19i.LYIS - <br /> 15 . Name of Project Manager: _ J l v0 D `� �- <br /> Number of years of experience with similar projects as a Project Manager: A5602 5; <br /> 16 . State your total bonding capacity : k A, to , <br /> c ! <br /> 17 . State your bonding capacity per job : � e � �; �� � �C <br /> 18 . Please provide name , address , telephone number, and contact person of your <br /> bonding company : � X� <br /> [The remainder of this page was left blank intentionally] <br /> ILA <br /> 00456 - Qualifications Questionnaire . doc <br /> 00456 - 2 <br /> F1Public WorksIENGINEERING DIVISION PROJECTS\1142-Misc Culvert Replacements\Admim\bid documents\00456 - Qualifications Questionnaire. doc <br />