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I <br /> 9 . Has the firm ever been charged with noncompliance of any public policy or rules? <br /> --f 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. ] <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? �0 <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 /> — <br /> Name: d4rt l W1 n &.e_ Date of Inspections: <br /> 14. Name of on-site Project Foreman : D �c fW, <br /> Number of years of experience with similar projects as a Project Foreman : <br /> 15 . Name of Project Manager: S�e. <br /> Number of years of experience with similar projects as a Project Manager: <br /> 16 . State your total bonding capacity: <br /> i <br /> fp1 <br /> 17 . State your bonding capacity per job : ��.e• _�► oQQ� ��1'L,.� _ <br /> 18 . Please provide name , address , telephone number, and contact person of your <br /> bonding company: JpS � - <br /> v <br /> [The remainder of this page was left blank intentionally] <br /> } <br /> 00456 - Qualifications Questionnaire. doc <br /> 006 2 <br /> FAPublic Works\ENGINEERING DIVISION PROJECTS11102-0Id Dixie Hwy Swk 8th S5 to SR 60m AP\AdrnhWd documentsWlaster Contract Documents\00456 <br /> Qualifications Questionnaire.doc <br />