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(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. SEE ATTACHED - <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 workload <br />and that demonstrates its ability to meet the project schedule. AVAILABLE UPON AWARD BY <br />REQUEST. <br />14. Name of person who inspected the site of the proposed work for the firm: <br />Name: TIMOTHY TAYLOR Date of Inspections: SEPTEMBER 5, 2019 <br />15. Name of on-site Project Foreman: ALEX ROBLERO <br />Number of years of experience with similar projects as a Project Foreman: 5 <br />16. Name of Project Manager: <br />EDELSO ORTIZ <br />Number of years of experience with similar projects as a Project Manager: 15 FEARS <br />17. State your total bonding capacity: FOUR MILLION <br />18. State your bonding capacity per job: TWO MILLION <br />19. Please provide name, address, telephone number, and contact person of your <br />bonding company: AGENT: USI INSURANCE SERVICES - NATIONAL INC <br />ATT: MS CI-IAUN M WILSON <br />[The remainder of this page was left blank intentionally] <br />3475 PIEDMONT ROAD, SUITE 800 <br />ATLANTA, GA 30305 <br />470-875-0398 <br />FAX - 610-537-1929 <br />00456 - Qualifications Questionnaire <br />00456-2 <br />F:1Public Works\ENGINEERING DIVISION PROJECTSX1806 Indian River Blvd and Grand Harbor Blvd -Mast Anns\1-AdminlBid Documents\Master Contract Documents Re- <br />Sid100456 - Qualifications Questionnaire.doc <br />