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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_000159321
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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

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

PRIME CONTRACTOR NAME X EIN SSN Jenny/BAC Killam, A Joint Venture P11

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

SUBCONTRACTOR NAME EIN X SSN

Ronald E. Heuer PII

SUBCONTRACTOR BUSINESS ADDRESS

3317 West Ringwood Road McHenry, IL 60051

Number Street Borough/City State Zip

SUBCONTRACTOR BILLING ADDRESS (IF DIFFERENT FROM ABOVE)

Number Street Borough/City State Zip

SUBCONTRACTOR TELEPHONE (815) 675-2003

SUBCONTRACTOR AMOUNT $10,800

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

Ci 9 t,. c c -' FORM COMPLETED Name (PRINT) of Subcontractor's Representative Title BY (i 1=, (L ( l Signature Date

MOCS Subcontractor Approval Form (Sept. 2010)

NYC-WTC 000159321

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NYC-WTC_000159321Source: NYC Law Department, mirrored locally

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