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10. Attach to this questionnaire , a notarized financial statement an oth r Information that <br /> documme�nrt�s Jhhe' firm's financial strength and history. s� Lou) 1 i'C we, Loa11 . H pf'h% fi}-r�i fiver e aulted on any <br />of its projects? �_ <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 schedt11 . <br /> 13 . Name of person who inspected the site of the proposed work for the firm : <br /> Name : tt�571- y E- /v(a,a. S Date of Inspections: (/' 3 ' o b <br /> 14 . Name of on-site Project Foreman : EEC; C P d_s <br /> Number of years of experience with similar projects as a Project Foreman : 1 �5 <br /> 15 . Name of Project Manager: � cL r r y 5 <br /> 0 :e) - Y- e c;.D <br /> Number of years of experience with similar projects as a Project Manager: oZ Jt' <br /> 16 . (a) Please state your bonding capacity per project. <br /> (b) Please state your total bonding capacity. <br /> (c) Please provide name , address and contact person of your bonding company. <br /> Aynexi be <br /> 17. What percentage of the total project will be performed by the firm's personnel? <br /> 65 % <br /> 18. Attach a separate page to this questionnaire that lists the firm's construction equipment <br /> that will be used on this project. iAllso, list the construction equipment that the firm will <br /> rent for this project. shGta � r) af nvrio 'ivuv* -Gf1_j� iy CIS <br /> otp M cr-N4+nos p�C �J <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnaire <br /> 00456 - 2 <br /> F. Public Works)Capiial Projecls*slo RoedkOslo Widening. Old Dime to 271h Aw CONTRACT DOCUMENT00456 - OuallficaGons Quesrlonnaire.dec Rev. 05101 <br />