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Document / 31 pages

Subcontractor services letter for DEP, February 2012

Machine-extracted title · confidence 95%

Letter regarding subcontractor services for a water tunnel project dated February 27, 2012.

NYC-WTC_000159316–000159346

Folder label: “Requests 2012”

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Scanned page image, NYC-WTC_000159319
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

CITY OF NEW YORK SUBCONTRACTOR PROFILE FORM

TO BE COMPLETED BY SUBCONTRACTOR

INSTRUCTIONS TO PRIME CONTRACTOR

subcontractor that will perform on the contract. Make A Subcontractor Profile Form must be completed by EACH additional copies of this form as needed.

PRIME CONTRACTOR NAME X EIN ❑ SSN Jenny/BAC Killam, A Joint Venture ~...... .

DEP CONTRACT #EE-GEO-02 & EE-GEO-03 REGISTRATION #82620060020284

SUBCONTRACTOR NAME ❑EIN X SSN

Ian Michael Gowring

SUBCONTRACTOR BUSINESS ADDRESS

Auburn, CA 95603 8921 Memory Lane, Borough/City State Zip Number Street

SUBCONTRACTOR BILLING ADDRESS (IF DIFFERENT FROM ABOVE)

Borough/City State Zip Number Street

SUBCONTRACTOR TELEPHONE (530)885-9055

SUBCONTRACTOR AMOUNT $12,000

DESCRIPTION OF SUBCONTRACT AND LOCATION participation in the TRC, and providing input to Reviewing information, travel to Technical Review Committee (TRC) meeting(s), report prepared by others

FORM t kt4 M cHAt &oWR-t - COMPLETED Name (PRINT) of Subcontractor's Representative Title ' BY A 21-1- %-' Signatur

MOCS Subcontractor Approval Form (Sept. 2010)

NYC-WTC 000159319

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NYC-WTC_000159319Source: NYC Law Department, mirrored locally

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