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8. Has the firm ever been charged by OSHA for violating any OSHA regulations ? J `6 [If your answer is "yes , then attach a separate page to this questionnaire that explains the circumstances and list the project name, Owner, and the Owner's telephone number for each project in which OSHA violations were alleged . ] 9. m firm ever been charged with noncompliance of any public policy or rules? [If your answer is "yes, then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number for each project. ] 10 . Attach to this questionnaire, a notarized financial statement and other information that documents the firm 's financial strength and history. 11 . Has the firm ever defaulted on any of its projects? _ [If your answer is "yes , then attach a separate page to this questionnaire that explains the circumstances and list the project name , Owner, and the Owner's telephone number for each project in which a default occurred .] 12. Attach a separate page to this questionnaire that summarizes the firm 's current workload and that demonstrates its ability to meet the project schedule. 13. Name ofperson who inspected the site of the proposed work for the firm : ,. Name : ] irn 1 t Date of Inspections: '1 14. Name of on-site Project Foreman: 2Lcq rnu r yDaK Number of years of experience — with similar projects as a Project Foreman : 15 . Name of Project Manager: 1 ► '•'Y� ` nwA Number of years of experience with similar projects as a Project Manager: (.-)/C>k r r [The remainder of this page was left blank intentionally] 5 0209-00456 - Qualifications Questionnaire.doc 00456 - 2 F:%EnginearinglCapital Projec4 =09-0th Streen Bridge Ovar Cooch nil 02094th Sleet Bridge Over Cooch 07-20-06W209-00456 - Qualifications Questionnaire.docRev. • @ OW