NYC 9/11 Public Portal Document
U is landlord in default on any cLugaUons relating to the bid andyor purchase,lease of anv propertv listed ab<Ae
Yes □ No □
If yes, specify and explain:
Address: ____________
Borough: ____________ Block and Lot:
Default: _____________
Comments: __________
m. General Background:
This section must be completed by all landlords unless:
A. landlord has filed a disclosure form within the past 12 months, in which case, applicant must explaui anv
material change which has occurred since the previous filing for each question below, or
B. landlord is the owner of record and is a corporation listed on a national exchange or other regulated
entities (e.g., insurance companies, public utilities).
Answer each question below with respect to the landlord and each of its principal/partners,
officers, directors, and owners of 10% or more of the outstanding shares):
15. Are there any judgments outstanding against you resulting from lawsuits brought by the Division of Real Estate
Services (DRES), the Department of Citywide Administrative Services (DCAS) or the City of New York?
Yes □ No □
If yes, state:
Court: .
County: State: ____________
Date: Docket Number:
Type: _ Amount of Judgement:
16. Have you ever been convicted of a crime (excluding minor traffic violations?)
Yes □ No □
If yes, specify:
Court: _________
County: _____ State:
Nature of Crime:
Date of Judgement: Date of Sentencing:
Sentence Imposed:
17. Have you ever been barred from bidding or declared non-responsible by any local, state, or federal government
agency, entity or authority?
Yes □ No □
If yes, e?q>lam:
18. Have you ever been declared in default on any local, state or federal contract?
Yes □ No □
If yes, explain:
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NYC-WTC_000170988
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