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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 Florida <br />Statute 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? <br />No. <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? No. <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 this questionnaire that summarizes the firm'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: Fernando Giro Date of Inspections: 6(13/2018 <br />15 <br />Name of on-site Project Foreman: Carmen Guriere <br />Number of years of experience with similar projects as a Project Foreman: 29 years <br />16. Name of Project Manager: Jean Jose Leon <br />Number of years of experience with similar projects as a Project Manager: 2 years <br />17. State your total bonding capacity: $3 Billion <br />18. State your bonding capacity per job: $300 Million <br />19. Please provide name, address, telephone number, and contact person of your <br />bond in company: Ciberry Mutual insurance Company,•' 175 Berkeley Street- Boston- NAA 02116! Contact Priv-ka Gchlot i Phone 201-327-6930 <br />[The remainder of this page was left blank intentionally] <br />00456 - Qualifications Questionnaire <br />00456-2 <br />FAPublic Works\ENGINEERING DIVISION PROJECTS\1305-CR 512 Resurf (SCOP)_MyrOe St to 125th St\Admim\bid documents\Master Contract Documenis100456 - <br />Qualifications Questionnaire.doc <br />