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9. 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 />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? 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 />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: SHANE PAULY Date of Inspections: 6/09/15 <br />14. Name of on-site Project Foreman: VICTORIANO GUTTIEREZ <br />Number of years of experience with similar projects as a Project Foreman: <br />15. Name of Project Manager: M USE t TEfZ <br />15 <br />Number of years of experience with similar projects as a Project Manager: <br />16. State your total bonding capacity: $8000,000 <br />17 <br />17. State your bonding capacity per job: $3,000,000 <br />18. Please provide name, address, telephone number, and contact person of your <br />bonding company: AGENT: STUART INSURANCE COMPANY - JOE COONS -772-286-4334 <br />3070 SE MAPP RD, PALM CITY, FL 34490 <br />[The remainder of this page was left blank intentionally] <br />WESTFIELD INSURANCE COMPANY - DAN MCANALLEN - 904-642-2144 <br />00456 - 2 <br />F:1Public Works4ENGINEERING DIVISION PROJECTS11506-Gifford Neighborhood 45th St BeautificationlAdminlbld documents\ taster Contract Documents100456 - <br />Qualcatlons Questionnaire.doc <br />00456 - Qualifications Questionnaire <br />