ATTACHMENT J-3 FINANICAL CAPABILITY Amendment 0001.pdf

ATTACHMENT J-3

FINANCIAL ABILITY TO PERFORM THE WORK REQUIRED

1. Is the Engineer of Record or the Firm currently the debtor in a bankruptcy case?

If “yes,” indicated the case number, bankruptcy court, and the date on which the petition was filed.

Case Number Bankruptcy Court Date Filed

2. Was the Engineer of Record or Firm in bankruptcy at any time during the last five (5) years?

If “yes,” indicated the case number, bankruptcy court, and the date on which the petition was filed.

Case Number Bankruptcy Court Date Filed

□ Yes

3. In the last five (5) years has the Engineer of Record or the Firm, been debarred, disqualified, removed, or otherwise prevented from bidding on, or completing, any government agency or public works project for any reason?

□ No

If “yes,” explain on a separate page. State the name of the organization debarred, the year of the event, the Owner of the project, and the basis for the action.

□ Yes

4. Has the Engineer of Record or the Firm ever been denied an award of a public works contract based on a finding by a public agency that they were not properly qualified?

□ No

If “yes,” on a separate page, identify the year of the event, the entity denied the award, the Owner, the project, and the basis for the finding by the public agency.

□ Yes

5. In the past five (5) years, has any claim in excess of $50,000 been filed or made in court or arbitration against the Engineer of Record or the Firm concerning its architectural work on a project for which they were found at fault?

□ No

If “yes,” on a separate page identify the claim(s) by providing the project name, date of the claim, name of the claimant, a brief description of the nature of the claim, the court and case number, and a brief description of the status of the claim (pending or, if resolved, a brief description of the resolution). This explanation is not counted toward the page count limitation.

□ Yes

6. In the past five (5) years, has the Engineer of Record or the Firm made any claim in excess of $50,000 against a project Owner concerning its architectural work on a project and filed or made that claim in court or arbitration?

□ No

If “yes,” on a separate page, identify the claim by providing the project name, date of the claim, name of the entity (or entities) against whom the claim was filed, a brief description of the nature of the claim, the court and case number, and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution). This explanation is not counted toward the page count limitation.

□ Yes

7. In the last five (5) years has any insurance carrier, for any form of insurance, refused to renew an insurance policy for the Engineer of Record or the Firm, based on non-payment or losses?

□ No

If “yes,” on a separate page, give name the insurance carrier, the form of insurance, and the year of the refusal.

□ Yes

8. Has the Engineer of Record or the Firm (or any manager of the Firm if the Firm is not a person) ever been found liable in a civil suit or found guilty in a criminal action for making any false claim or material misrepresentation to any public agency or entity?

□ No

If “yes,” on a separate page, identify who was involved, the name of the public agency, the date of the investigation, and the grounds for the finding.