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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: Timothy Rose <br />Date of inspections:February 21, 2019 <br />15. Name of on-site Project Foreman: Donnie Flood <br />Number of years of experience with similar projects as a Project Foreman: 14 <br />16. Name of Project Manager: Timothy Rose <br />Number of years of experience with similar projects as a Project Manager: 35 <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 />bonding company: Westfield Insurance Company Dan McAnallen <br />904-661-4708 <br />One Park Circle <br />P.O. Box 5001 <br />Westfield Center, Ohio 44251 <br />[The remainder of this page was left blank intentionally] <br />00456 - Qualifications Questionnaire <br />00466 - 2 <br />F:1Public Works\ENGINEERING DIVISION PROJECTS11362-01d Dixie Hwy_Highland Dr11-Admin\Bid Documents\Master Contract Documentst00456- Qualifications <br />Queslionnaite.doc <br />