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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 /> [If your answer is "yes", then attach a separate page to this questionnaire that explains 1 <br /> the circumstances and list the project name, Owner, and the Owner's telephone number i <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: -J0Y'",8J�V rte- Date of Inspections: �a „l(p <br /> 14. Name of on-site Project Foreman: \JioMa,8PoPr_ <br /> Number of years of experience with similar projects as a Project Foreman: <br /> 15. Name of Project Manager: *t(,,, <br /> i I <br /> Number of years of experience with similar projects as a Project Manager: 13 <br /> 16. State your total bonding capacity: W AAt Lb cl, <br /> �17. State our bonding capacity per Job: <br /> U Vbn <br /> 18. Please provide name, address, telephone number, and contact person of your <br /> bonding company: l <br /> 3 I <br /> [The remainder of this page was left blank intentionally] <br /> W,71 <br /> : <br /> 00456-Qualifications Questionnaire <br /> 00456-2 <br /> F\Public Works\ENGINEERING DIVISION PROJECTS\1123 43rd Ave Sidewalk Improvements 26th Sl.to Airport Dr West\Admim\bid documentsWasler Contract <br /> Documents\00456-Qualifications Questionnaire.doc <br /> i <br />