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6.D. - Page 71 of 170 <br />Request for Qualifications: <br />General Park Building Construction, Retrofit, Maintenance, and/or Repairs <br />M415ed:octrZer2413 L-Angeree cry Cr—b- S 47qall12p page t s r a <br />LOS Mutldpei COW §545_7.35[8X3 , $4l <br />IMPORTANT - RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 65 of 103 <br />154 <br />City Ethics commgShm ss®oav ��1�1� cm b (Bw*m) <br />200 N Spring Streelbi <br />city Hall —24th now <br />Los Angeles, CA 91it112 129 <br />SQ . 55PK 1NWs�p <br />9213) 9781960 <br />This fame Host be o ¢rrVeled in ifs entirety arad sLdmmW ed 3o the awarding aui3iarily wd9h y w bid <br />or pmposai for the contract rmotedbekaw_ A bid or prupamai that does not inc( nde a comp ed <br />form md1 be deemednorMvspom we_ Pteasse wnte.le9"y_ <br />® 046ginal filing 0 Amended ding (angina signed an : last an eruirneent signed on i <br />Bid,'ContracVBAVN Number tarowwtderArj M wrdmmmm irmmnwwi: <br />Date Bid S bmitted: <br />''to3)3. <br />Description of Contract: <br />GMERAL PARK BUILMAJ G tioN sTizaafION. t,TROFI T. MA)A)T--1V1WJ0-,5 4AMOR WARS1 <br />Awarding Authority (Departnnent): <br />017'Y OF LOS N G ELE 5 0,6PT- OF R ECR,6A7-j bN AnD PPAKS <br />BODER <br />N , ; Tne PU&I& 8E5rRoom 610mpA10 <br />Address: 67587- 6U,51Ntr5S P9RKIU/4y. /!'LINDEN, LUV, Rgq;?_3 <br />/mail (optional_ C'NUCK �DuB�I eRFsrRoomeomPRNY� Com Phone: W -W -07060 <br />8 a 9 <br />State Contractor ID: <br />Sate In anust be &ffckwed fw kwnfi eah an pwas es even if 1W 1wea rrWig work on this cw*act <br />underdaa f ense. f Me hiWer does nothave a -14&e fi[ indicate�t e' <br />PRINCIPALS <br />Please identify the na nies and lilies of all principals (attach additional sheer if necessary)- Principals <br />include a bidder's board chair, president, chief execuliive officer, chief operating officer, and individuals <br />vwho serve in the functional equivalent of one or more of thwe positions_ Principals also include <br />individuals wrho !told an ownership interest in the bidder of at least 2+D peroent and erployees of the <br />bidder who are authorized by the laid or proposal to represent the bidder before the City- <br />hlame_ O ARLI=5 6&MIPAIV Title: P&5_5 i L),6 -At -r t&C'6z'0wix'v <br />Address: .9,5W3- 6U.SINESS 08KWAI. ►'1')INOEIV, NV '93923 <br />Warne_ Tdle_ <br />Address: <br />!+/arse_ Tinley <br />Address: <br />Nan -pe- Title: <br />Address: <br />0 additional sheets are attached. $A Bidder is an individual and no other principals exist <br />M415ed:octrZer2413 L-Angeree cry Cr—b- S 47qall12p page t s r a <br />LOS Mutldpei COW §545_7.35[8X3 , $4l <br />IMPORTANT - RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 65 of 103 <br />154 <br />