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6.D. - Page 85 of 170 <br />Request for Qualifications: <br />General Park Building Construction, Retrofit, Maintenance, and/or Repairs <br />Schedule A <br />LIST OF POTENTIAL MBE/WBE/SBE/EBE/DVBE/OBE SUBCONSULTANTS <br />(NOTE: COPY THIS PAGE AND ADD ADDITIONAL SHEETS AS NECESSARY, SIGN ALL SHEETS) <br />Name of Consultant/Contractor: 1 P E PU PL I C 6 2S r,OOO M d O M P)MY <br />No. <br />Company Name <br />Address <br />Telephone/Contact Person <br />License No. <br />MBE/A BE/ <br />SBE/EBE/ <br />DVBE/OBE <br />Description of work to be performed. <br />►�D ��5PDNSE <br />NOTE: I hereby declare that I will be utilizing this list to solicit responses from these subconsultants before responding to <br />(a specific project/individual Task Work Orders) under the Request for Qualifications, General Park Building <br />Construction Services. <br />Signature of Person Completing this Form Printed Name of Person Com I <br />eting this Form <br />PR ES) De N T I U4, �U' k`7, <br />Title Date <br />MUST BE SUBMITTED WITH BID <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ <br />SUBMITTAL DEADLINE. <br />Page 79 of 103 <br />I .: <br />