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2015-095A
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2015-095A
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Last modified
3/30/2017 10:34:14 AM
Creation date
7/24/2015 10:06:55 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
05/12/2015
Control Number
2015-095A
Agenda Item Number
8.J.
Entity Name
Timothy Rose Contracting
Subject
Intersection Improvements
Area
20th Ave. & 16th Street
Project Number
0225
Bid Number
2015037
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9. Has 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 number <br />for each project.] <br />10. Attach to this questionnaire, a notarized financial statement and other information that / <br />documents the firm's financial strength and history. <br />11. Has the firm ever defaulted on any of its projects? N..10 <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 />12. Attach a separate page to this questionnaire that summarizes the firm's current= <br />workload and that demonstrates its ability to meet the project schedule. <br />13. Name of person who inspected the site of the proposed work for the firm: <br />Name: I 1 Y' T \- K( Date of Inspections: : i <br />14. Name of on-site Project Foreman:.�� 1 <br />1 � \ Yl vl7 �'1ikitv: f�i <br />Number of years of experience with similar projects as a Project Foreman: <br />15. Name of Project Manager: <br />ezw_ <br />Number of years of experience with similar projects as a Project Manager: 2-(.0 <br />16. State your total bonding capacity: t Ofilk\ l von <br />17. State your bonding capacity per job: 5 AI <br />18. Please provide name, address, telephonetnumber, and contact person of your <br />bonding company: ��.� l .t VAS 'A,(/ iAt <br />[The remainder of this page was left blank intentionally] t©a� C �vt4U�l��l 4 <br />Siu.C.L /014 <br />�c c k -sun V t titer x'327 <br />q, --I \-1 2. ZtL <br />00456 - Qualifications Questionnaire <br />00456 - 2 <br />F:J ub'ic Werks\ENGINEERING DIVISION PROJECTS1C225 2Cth Ave and 161h St Interceci:on InprnvnmenD/lcm-mlbia doc,rmenislhlasler ConIract Documents100456 <br />Oualthcations Ouesttonnz;rc.dcc <br />
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