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J <br />11 <br />IRC -2204 <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 <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. (Attachment located at end of this document) <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 <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 sched ule.(Attachment located at end of this docurnent) <br />14. Name of person who inspected the site of the proposed work for the firm: <br />Name: Michael O'Neill Date of Inspections: July 14, 2022 <br />15. Name of on-site Project Foreman: Rod Taylor <br />16 <br />`A <br />18 <br />Number of years of experience with similar projects as a Project Foreman: 25 <br />Name of Project Manager: Michael O'Neill <br />Number of years of experience with similar projects as a Project Manager: 10 <br />State your total bonding capacity <br />State your bonding capacity per job <br />$20,000,000.00 <br />$15,000,000.00 <br />19. Please provide name, address, telephone number, and contact person of your bonding <br />company: <br />Florida Surety Bonds, Inc. 620 N. Wymore Road, Suite 200 - Maitland, FL 32751 <br />Phone: 407-786-7770 Contact: Susan Reich and/or Lisa Roseland <br />[The remainder of this page was left blank intentionally] <br />Qualifications Questionnaire - 00456 - 2 <br />F:\PublicWorks\ENGINEERING DIVISION PROJECTS\2204 Dick B rd Park- Pickle Ball Court\1-Admin\Bids\Bid Documents\DIV 0 1 Bid and Contract Doc IRC-2204.docx <br />