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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 implemented a drug-free workplace program in compliance with Flora <br />Statute 287.087? <br />(in the case of a be, preference will be given to businesses with drug-free workplace <br />programs) <br />10. 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 <br />the circumstances and list the project name, Owner, and the Owner's telephone number <br />for each project.] <br />11. Attach to this questionnaire, a notarized financial statement and other information. that <br />documents the firm's financial strength and history. <br />12. 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 />13. Attach a separate page to th <br />is questionnaire that summarizes the fine's current <br />workload and that demonstrates its ability to meet the project schedule. <br />14. Name of person who inspected the site of the .proposed work for the firm: <br />Name:.] l Date of Inspections: rL <br />15. Name of on-site Project; Foreman:) <br />Number of years of experience with similar projects as a Project Foreman: <br />16. Name of Project Manager S, <br />Number of years of experience with similar projects as a Project Manager <br />17. State your total, bonding capacity:, 5 O� f. 00 0 0 d) Q. <br />18. State your bonding capacity perjab: 5� 00 _ 666 00 <br />19. Please provide name, address, telephone number, and contract person of your <br />bonding company: l�hh,si7n <br />g4,0c c: <br />lam �ofllk7 <br />[The remainder of this page was left.:biank intentionally] <br />00456 -QUR iB QUOS40fMie <br />00456-2 <br />BVANoWorWa4G ER}1�TQDIVL410AJ.MOZCM735SRCIng Coop= RoofR Rgeir.F'[ojeatit-Amid Dxam�lMas6erGaUsaU <br />Dommi&M56 - QW fimfim Q wsh doc <br />