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~ <br />r` <br />III III III III IIII III <br />Attachment A <br />AML CONTRACTOR <br />OWNERSHIP AND CONTROL <br />INFORMATION PACKAGE <br />1. Contract No. Bid ll P;:A-6-374 <br />2. Contract Type: <br />Inspection Engineering Reclamation x <br />GENERAL INFORMATION I,~I~a2 <br />3. Contractor Name J.p. rt;,rkP r.nr;,_ Phone (g7n)fiGl_9S9fi <br />Mailing Address v n n,,.. 9qq tlq s_ M:,;,, <br />City c,mn;con State rn Zip gt~3n <br />SSN EIN fl4-1143581 <br />4 <br />Sub-contractor Name <br />Mailing Address <br />City <br />SSN <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 £or inspection services or <br />include inspection duties. A11 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 <br />(x) Corporation <br />( ) Partnership <br />( ) Other <br />If Contractor is a sole proprietorship, list: <br />Owner Name Phone <br />Mailing Address <br />City State Zip <br />SSN EIN <br />Beginning date as owner of sole proprietorship <br />b) Sub-contractor's Legal Structure: <br />( ) Sole Proprietorship ( ) Partnership <br />( ) Corporation ( ) Other <br />Phone <br />State Zip <br />EIN <br />