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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 />—_ <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? Ny <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 />e12. 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. <,tJ i ti 5apL4 04- <br />A0A)ZD <br />13. Name of person who inspected the site of the proposed work for the firm: <br />Name: C/40 5W I lN/ I' Date of Inspections: /✓IAK, 5, go/ d <br />14. Name of on-site Project Foreman: W ! L., tr,. S VPPL`' LAt'O!V AAt2b <br />Number of years of experience with similar projects as a Project Foreman: <br />15. Name of Project Manager: (A )/ i, t� 5 U-401oL � (A 9i "-fl b <br />Number of years of experience with similar projects as a Project Manager: <br />16. State your total bonding capacity: 10011 0 00 . 000 <br />17. State your bonding capacity per job: 101 0001000 <br />e18. Please provide name, address, telephone number, and contact person of your ��77 <br />bonding company: 5JR6 -, Ar�0,1,1,,L,G a -C 55 2 6 y iHa,(Q K <br />Ashevi 1i�, NC Xsb I (<�A) �_3U Der, lm&lft)(_t�1 o <br />[The remainder of this page was left blank intentionally] <br />�1 <br />00456 - Quallflcadons QuesUonnaire.doc <br />00456-2 <br />FAEngineenng%Capital ProjeUsW205 Otd Dixie Wghway Bridge over the South Relief CanaIW205 Contract Documents 8 Specs100456 - Qualifications Questlonnalm.doc <br />