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9. Has the firm implemented a drug-free workplace program in compliance with Florida Statute 287.087? Y ES (In the case of a tie, preference will be given to businesses with drug-free workplace programs) 10. Has the firm ever been charged with noncompliance of any public policy or rules? Ny [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.] 11. Attach to this questionnaire, a notarized financial statement and other information that documents the firm's financial strength and history. wr--t- t2d,o DoE 12. Has the firm ever defaulted on any of its projects? ft/C) [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.] 13. Attach a separate page to this questionnaire that summarizes the firm's current workload and that demonstrates its ability to meet the project schedule. w�« 14. Name of person who inspected the site of the proposed work for the firm(: Name: 36x.1 6uc 1 --11-L Date of Inspections: L,? 15. Name of on-site Project Foreman: Number of years of experience with similar projects as a Project Foreman: 2d 16. Name of Project Manager: 6 c ST �2 Number of years of experience with similar projects as a Project Manager: / 17. State your total bonding capacity: moi l5©b,p 00 18. State your bonding capacity per job: Zo ,fl6D,Mf) 19. Please provide name, address, telephone number, and contact person of your bonding company: th m r S No l ro Ktm P'(-/ov (-bo(a b,_'-,ioJ/�64e mi viEST PRS 6 FL [The remainder of this page was left blank intentionally] 00456-Qualifications Questionnaire 00456-2 FAPublic Works%ENGINEERING DMSION PROJECTS11425-s County Park-General Use RaIMAdminWd documentsWlaster Contract Documents=456-Qualifications Questionnaire.doc