AgdaPkt 2019-01-28 Joint SA PFA - Laserfiche WebLink

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6.D. - Page 93 of 170 Request for Qualifications: General Park Building Construction, Retrofit, Maintenance, and/or Repairs Responsibility Questionnaire (Rev. 1/25/12) C. OWNERSHIP AND NAME CHANGES 1. Is your firm a subsidiary, parent, holding company, or affiliate of another firm? ❑ Yes X No If Yes, explain on Attachment A the relationship between your firm and the associated firms. Include information about an affiliated firm only if one firm owns 50% or more of another firm, or if an owner, partner or officer of your firm holds a similar position in another firm. 2. Has any of the firm's owners, partners, or officers operated a similar business in the past five years? ❑ Yes ® No If Yes, list on Attachment A the names and addresses of all such businesses, and the person who operated the business. Include information about a similar business only if an owner, partner, or other officer of your firm holds a similar position in another firm. 3. Has the firm changed names in the past five years? ❑ Yes [ No If Yes, list on Attachment A all prior names, addresses, and the dates they were used. Explain the reason for each name change in the last five years. 4. Are any of your firm's licenses held in the name of a corporation or partnership? 9 Yes ❑ No If Yes, list on Attachment A the name of the corporation that actually holds the license. Bidders/Contractors must continue on to Section D and answer all remaining questions contained in this Questionnaire. The responses to the remaining questions in this Questionnaire will not be posted on the Internet but will be made available to the public for review upon request. Contact the appropriate Designated Administrative Agency. Responsibility Questionnaire (Rev. 1/25/12) IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED OUT) BY RFQ SUBMITTAL DEADLINE. 176 Page 87 of 103