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Bid No. 2018043/IRC-1523 <br />[If your answer is yes', then attach a separate page to this questionnaire that explains the <br />circumstances and list the project name, Owner, and the Owner's telephone number for each project in <br />which OSHA violations were alleged.] <br />9. Has the firm implemented a drug-free workplace program in compliance with Florida Statute <br />287.087? Yes <br />(In the case of a tie, 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? No <br />[If your answer is "yes", then attach a separate page to this questionnaire that explains the <br />circumstances and list the project name, Owner, and the Owner's telephone number for each <br />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? No <br />[If your answer is "yes", then attach a separate page to this questionnaire that explains the <br />circumstances and list the project name, Owner, and the Owner's telephone number for each <br />project in which a default occurred.] <br />13. Attach a separate page to this questionnaire that summarizes the firm's current workload and <br />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: Timothy Rose Date of Inspections: 03/15118 <br />15. Name of on-site Project Foreman: Zigmund York <br />Number of years of experience with similar projects as a Project Foreman: 15 <br />16. Name of Project Manager: Timothy Rose <br />Number of years of experience with similar projects as a Project Manager: 3_ <br />17. State your total bonding capacity: 10 Million <br />18. State your bonding capacity per job: 5 Million <br />19. Please provide name, address, telephone number, and contact person of your <br />Westfield Insurance Company <br />bonding company:Dan McAnallen 1 Park Circle Westfield Center OH 44251 904.661.4708 <br />Page 19 of 37 <br />