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9. Has the firm ever been charged with noncompliance of any public policy or rules? <br />Nn <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 />13. Name of person who inspected the site of the proposed work for the firm: <br />Name: cl.r c, ctle.r+` Date of Inspections: 3 -lo - iv /3./o <br />14. Name of on-site Project Foreman: Q.1-, ,A,5*) q. "i?)rsrY..e;i- <br />Number of years of experience with similar projects as a Project Foreman: \ <br />15. Name of Project Manager: C,\-",,ko,, <br />Number of years of experience with similar projects as a Project Manager: <br />16. State your total bonding capacity: <9 SO, 0 Ut 1 <br />17. State your bonding capacity per job: a 5 Or 000. Q0 <br />18. Please provide name, address, telephone number, and contact person of your <br />bonding company: e,cra, \\ics <br />b 11 L 0.5 -t6 -Curl Zd . LouaKeluck l 3 39 0 <br />( *. 'i) 5M.3- e4�2- S I q5t�y(� 6-ween) <br />The remainder of this page was left blank intentionally] <br />00456 - Qualifications Questionnaire.doc <br />00456-2 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\0948-47TH Street (US1 to Terminus PoInt)V+dmIm\bid documents\0946 Contract Documents\00456 - Qualifications <br />fl, iwetinnnnirn.dn,, <br />