Lead Contractor, Lead Engineering Firm and Guarantor(s). If the Lead Contractor or Lead Engineering Firm is a joint venture, consortium, partnership or limited liability company, indicate the name and role of each joint venturer, consortium member, partner or limited liability company member (as applicable) in the spaces below. PROPOSED ROLE WITHIN THE CURRENT OR EXPECTED PERCENTAGE OF INTEREST CONSORTIUM, JOINT VENTURE, WITHIN THE CONSORTIUM, JOINT VENTURE, LIMITED NAME AND ADDRESS LIMITED LIABILITY COMPANY OR LIABILITY COMPANY OR PARTNERSHIP AND TYPE OF PARTNERSHIP INTEREST (IF APPLICABLE) Respondent Team Information. In the chart below, list the members of the team and the percentage interest of each member. If a member is a joint venture, consortium, partnership or limited liability company, indicate the entities making up the joint venture, consortium, partnership or limited liability company and their percentage interest in the entity. PERCENTAGE INTEREST IN LEAD CONTRACTOR MEMBER NAME (COMPOSITION OF LEAD RESPONDENT CONTRACTOR) Example: 50% Contractor JV (Joint Venturer #1 - 75%) (Joint Venturer #2 - 25%) Member 1: Member 2: Member 3: AUTHORIZED REPRESENTATIVE: Under penalty of perjury, I certify that the foregoing is true and correct, and that I am the Official Representative of the entity to which this form relates: By: ____________________________ Print Name: _____________________________ __________________________ Date: ________________________ [Please make additional copies of this form as needed]
Lead Contractor, Lead Engineering Firm and Guarantor(s). If the Lead Contractor or Lead Engineering Firm is a joint venture, consortium, partnership or limited liability company, indicate the name and role of each joint venturer, consortium member, partner or limited liability company member (as applicable) in the spaces below. NAME AND ADDRESS PROPOSED ROLE WITHIN THE CONSORTIUM, JOINT VENTURE, LIMITED LIABILITY COMPANY OR PARTNERSHIP CURRENT OR EXPECTED PERCENTAGE OF INTEREST WITHIN THE CONSORTIUM, JOINT VENTURE, LIMITED LIABILITY COMPANY OR PARTNERSHIP AND TYPE OF INTEREST (IF APPLICABLE) Respondent Team Information. In the chart below, list the members of the team and the percentage interest of each member. If a member is a joint venture, consortium, partnership or limited liability company, indicate the entities making up the joint venture, consortium, partnership or limited liability company and their percentage interest in the entity. LEAD CONTRACTOR MEMBER NAME (COMPOSITION OF LEAD CONTRACTOR) PERCENTAGE INTEREST IN RESPONDENT Example: Contractor JV (Joint Venturer #1 - 75%) (Joint Venturer #2 - 25%) 50% Member 1: Member 2: Member 3: AUTHORIZED REPRESENTATIVE: Under penalty of perjury, I certify that the foregoing is true and correct, and that I am the Official Representative of the entity to which this form relates: By: ____________________________ Print Name: _____________________________ __________________________ Date: ________________________ [Please make additional copies of this form as needed]