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Attachment A <br /> AML CONTRACTOR <br /> OWNERSHIP AND CONTROL <br /> ,,��iiINFORMATION PACKAGE <br /> 1. Contract No. 81/T -6 r 3 7.5'_ <br /> 2. Contract Type: <br /> Inspection Engineering Reclamation <br /> GENERAL INFORMATION <br /> 3 . Contractor Name Wa ine (ce 01c Phone 2- 26 1 <br /> MailingAddress Cc C) }mac ,.P t'r � O <br /> City _ State � Zip �,2 <br /> SSN EIN !j - ) ,U 2 Z?& <br /> 4 . Sub-contractor Name Phone <br /> Mailing Address <br /> City Sta a Zip <br /> SSN EIN <br /> All sub-contractors who will receive 10% or greater of the <br /> total AML Contract award must be identified, with the <br /> exception of contracts awarded for inspection services or <br /> include inspection duties. All subcontractors on inspection <br /> contracts or who are carrying out inspection duties MUST be <br /> identified. If there is more than one subcontractor, list <br /> above information on a supplemental page. <br /> OWNERSHIP AND CONTROL <br /> 5. a) Contractor' s Legal Structure: <br /> Sole Proprietorship ( ) Partnership C <br /> ( ) Corporation ( ) Other -1' 1 C <br /> If Contractor is a sole proprietorship, list: <br /> Owner Name \ v,. Phone 12 0 ii Z 4 �- <br /> Mailing Address boo E-j!C2c L=2z j <br /> City eK State 60 Zip _t t 6 2-S <br /> SSN EIN <br /> Beginning date as owner of sole proprietorship <br /> b) Sub-con ractor' s Legal Structure: <br /> ( ) Sole Propri orship ( ) Partnership <br /> ( ) Corporation ( ) Other <br />