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(In the case of a tie, preference will be given to businesses with drug-free workplace <br />programs) <br />10. Hai the firm ever been charged with noncompliance of any public policy or rules? <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 />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?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 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 ofperson <br />Si4* <br />rson who inspected the site of the proposed work for the firm: <br />Namel�&ti ¢`(�2Date of Inspections: <br />15. Name of on-site Project Foreman: <br />Number of years of experience with similar projects as a Project Foreman: <br />16. Name of Project Manager: ZOQ.V101 6Zvi �-Z5 1 - <br />Number of years of experience with similar projects as a Project Manager: . <br />17. State your total bonding capacity: YY1 <br />18. State your bonding capacity per job: <br />19. Please provide name, address, telephone number, and contact person of your bonding <br />company: <br />db, cxl(DL�(A .Q6w�,Y)q coavpww <br />1`t A-3 6 o S � S 11 J p5 0 <br />[The remainder of this page was left blank intentionally] <br />Qualifications Questionnaire - 00456 - 2 <br />F:\Public Works\ENGINEER ING DIVISION PROJECTSX1914A - Jackie Robinson Training Center -Villas Remodel\1-Admin\Bids\Bid Documents\Bid Docs - VillasWasler <br />Contract Documents\DIV 0 2 eiddina Documents - 20201002 docx <br />