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10 <br />11. <br />12. <br />13, <br />14. <br />15. <br />16. <br />17. <br />18. <br />19. <br />(In the case of a tie, preference will be given to businesses with drug-free workplace <br />programs) <br />Hass the firm ever been charged with noncompliance of any public policy or rules? <br />O <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 <br />number for each project.] <br />Attach to this questionnaire, a notarized financial statement and other information that <br />documents the firm's financial strength and history. PROVIDED IN CONFIDENTIAL ENVELOPE <br />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 Owners telephone <br />number for each project in which a default occurred.] <br />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. PROJECT SCHEDULE <br />Name of person who inspected the site of the proposed work for the firm: <br />Name: <br />TIMOTHY TAYLOR Date of Inspections: JUNE 2020 <br />Name of on-site Project Foreman: <br />IVAN PUAC/ALEX ROBLERRO <br />Number of years of experience with similar projects as a Project Foreman: 7 YEARS <br />Name of Project Manager: EDELSO ORTIZ <br />Number of years of experience with similar projects as a Project Manager: 20 YEARS <br />State your total bonding capacity: <br />State your bonding capacity per job: <br />10 MILLION <br />6 MILLION <br />Please provide name, address, telephone number, and contact person of your bonding <br />company: <br />USI INSURANCE 3475 PIEDMONT ROAD SUITE 800, ATLANTA GA 30305 <br />ACCOUNT MGR - KATE LONGAKER 470-875-0568 <br />[The remainder of this page was left blank intentionally] <br />Qualifications Questionnaire - 00456 - 2 <br />FAPublic Works%ENGINEERING DIVISION PROJECTSl1909 8lh ST at IRB Signalization ImproAl-AdminlBidsWid DocumenlslDIV 0_2_Bidding Documerds.docx <br />