IDENTIFICATION OF PROPOSER AND EQUITY MEMBERS—Form B-1 NAME OF ENTITY AND ROLE IN Contractor Description of Work/Services To Be CONTACT INFORMATION ORGANIZATION License and License Performed By Entity (address, representative, Limit (if applicable) (if applicable) phone, fax, e-mail) The above information is true, correct and accurate. [Insert the Proposer’s name] By: Name:
IDENTIFICATION OF PROPOSER AND EQUITY MEMBERS—Form B-1 NAME OF ENTITY AND CONTACT INFORMATION (address, representative, phone, fax, e-mail) ROLE IN ORGANIZATION Contractor License and License Limit (if applicable) Description of Work/Services To Be Performed By Entity (if applicable) The above information is true, correct and accurate. [Insert the Proposer’s name] By: Name:
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