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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 />NO <br />[Ifyour 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 inforpation that <br />documents the firm's financial strength and history. W ; l l be Pro v i c ed Lcpovi (Uv cf-OICA . <br />11. Has the firm ever defaulted on any of its projects? TV 0 1r 9,1 Q ` 0 -ft <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: JrY1 W i ckm a - F Z n Date of Inspections: .3ll � <br />14. Name of on-site Project Foreman: Ra -y S k-0- I IT -n - <br />Number of years of experience with similar projects as a Project Foreman: -ZC � alrs <br />15. Name of Project Manager: (i m W i A rn a r1 r) <br />Number of years of experience with similar projects as a Project Manager: 2 vec-rs <br />16. State your bonding capacity? 109 0 000 000. 00 <br />17. State your bonding capacity per job:SCS O� 000, 00 <br />18. Please provide Name, address, telephone number, and contact person of your bonding <br />company: C o CLS i -ad 8o nG i!N SrLC.. 1 t 19.ZLI For. --s+ k-111 a.1 -3Z3 <br />Wo I ( inti 6 n 33,414 ;To hn H0_1-1-15 �5(e ►) "753 'SS�t'7 <br />00456 - Qualifications Questionnaire <br />00456-2 <br />FAEngineerhoCaotal Pro)9ds%0455 6th St SIDEWALK FROM 16th COURT TO OLD DDOE10455 CONTRACT DOCS & SPECS1D0456.Ouallfieadons Quesvonnalre.doe <br />