Laserfiche WebLink
[ 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 OSHA violations were alleged . ] <br /> 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. " v& re� `i`« sf' <br /> 11 . Has the firm ever defaulted on any 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 schedule . <br /> 13 . Name of person who inspected the site of the proposed work for the firm : <br /> Name : ✓' e i c. 1 Ho MoLtssAil Date of Inspections : g141 <br /> 14 . Name of on-site Project Foreman : 5 a %e C. 1 D Cavil o <br /> Number of years of experience with similar projects as a Project Foreman : 5 <br /> 15 . Name of Project Manager: M o c I" iv k -5.5 A %&' I <br /> Number of years of experience with similar projects as a Project Manager: Z o <br /> 16 . State your total bonding capacity : t" cx [ s s df 50 <br /> 17 . State your bonding capacity per job : �D% c4 C c- $ s o d Z c t" Il [ loom <br /> 18 . Please provide name address , telephone number, and contact person of your <br /> p p <br /> :5 & -fco :C" Skv &% ee C & . <br /> bonding company: c / n at.rA y N , <br /> $ Et a i1% St • ( goo ) 777 - Z e 9 4- <br /> 1"44 ,. cc00 'sA , N . Y. 13109 <br /> [The remainder of this page was left blank intentionally] <br /> 00456 - Qualifications Questionnaire - REV 04-07 <br /> 00456 - 2 <br /> FAEngineering\Capital Projects\080317th Lane SW Roadway Improvements from 27th Ave to approx. 900 LF east of 27th Ave\0803 Contract Documents\00456 - <br /> Qualifications Questionnaire - REV 04-07 .doc <br />