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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. <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. <br />14. Name of person who inspected the site of the proposed work for the firm: <br />Name: Timothy Rose <br />Date of Inspections: 10.03.2019 <br />15. Name of on-site Project Foreman: Timothy Rose <br />Number of years of experience with similar projects as a Project Foreman: 28 <br />16. Name of Project Manager: Timothy Rose <br />17 <br />Number of years of experience with similar projects as a Project Manager: 28 <br />State your total bonding capacity: 10 mil <br />18. State your bonding capacity per job: 5 mil <br />19 <br />Please provide name, address, telephone number, and contact person of your <br />bonding company:Westfield Insurance Dan McAnallen 904-661-4708 <br />One Park Circle / PO BOX 5001 <br />Westfield Center, OH 44251 <br />[The remainder of this page was left blank intentionally] <br />00456 - Qualifications Questionnaire <br />00456 - 2 <br />F:\Public Works\ENGINEER] NG DIVISION PROJECTS\0853-43rd AVE 18th ST to 26th ST (Arcadis)\1-Admin\Bid Documents\Master Contract Documents\00456 - <br />Qualificalions Questionnaire.doc <br />