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[if your answer is "yes", hien at�- the circumstances and list the :;: for each project iVich OSHA c 0. Has the firm ever been charged NO .: ois questionnaire that explains the Owner's telephone number •li^nce -of any public policy or rules? [If your answer is "yes", then attach a separate page to this questionnaire that explains the circumstances and list the project name, Owner, and the Owner's telephone number for each project.] 10. Attach to this questionnaire, a notarized financial statement and other information that documents the firm's financial strength and history. ✓ 11. Has the firm ever defaulted on any of its projects? N a [If your answer is "yes", then attach a separate page to this questionnaire that explains the circumstances and list the project name, Owner, and the Owner's telephone number for each project in which a default occurred.] 12. Attach a separate page to this questionnaire that summarizes the firm's current workload and that demonstrates its ability to meet the project schedule ✓ 13. Name of person who inspected the site of the proposed work for the firm: Name: I i‘ Date of Inspections: O. 14. Name of on-site Project Foreman: Number of years of experience with similar projects as a Project Foreman: 7� 15. Name of Project Manager: 1 vy1,40 Number of years of experience with similar projects as a Project Manager: 2 :� 16. State your total bonding capacity: le VW I LCO C' 17. State your bonding capacity per job:.S V LIU..LLiO r 18. Please provide name,• address, telephone number, and contact person of your bonding company: `kal Q r 1:�\ o%�'P - r -L , ilh ee f V.tn [The remainder of this page was left blank intentionally] LOO iY tOA PCVLIA i es, t,l. vtlJ�Ut_.- lam' .`- Ccr _ '��t.l l�• E—I C'd 1.4 -Li qr1 4-1 00456 se-s'ionnaire.doc 00456-2 C:\Documents and SettingsVnnixon\Local Sett,=;_ -•_,.. _ ; :.met Files\OLK21\00456 - Qualifications Questionnaire.dec