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6.D. - Page 98 of 170 Request for Qualifications: <br />General Park Building Construction, Retrofit, Maintenance, and/or Repairs <br />ATTACHMENT A FOR SECTIONS A THROUGH C <br />Where additional information or an explanation is required, use the space below to provide the information <br />or explanation. Information submitted on this sheet must be typewritten. Include the number of thequestion <br />for which you are submitting additional information. Make copies of this Attachment if additional <br />pages are needed. <br />Page 1 <br />C. OWNERSHIP AND NAME CHANGES <br />4. Are any of your firm's licenses held in the name of a corporation or partnership? <br />The Public Restroom Company: <br />State of California Manufacturer Commercial Modular License #MF1277003 <br />State of California Dealer Occupational License #DL1109895 <br />State of California Contractors State License Board #822966 B <br />State of California Department of Industrial Relations Registration#1000005303 <br />Responsibility Questionnaire (Rev. 1/25/12) <br />IMPORTANT — RESPONDERS MUST SUBMIT ALL REQUIRED FORMS (COMPLETELY FILLED <br />OUT) BY RFQ SUBMITTAL DEADLINE. 181 <br />Paze 92 of 103 <br />