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FORM D: ADMINISTRATIVE INFORMATION <br />NOTE. Administrative Information may be used in screening and/or evaluating proposals. <br />If questions contain "strikethroughs", the related question is not applicable to this RFP; skip to the next <br />question. <br />This form provides information regarding identification and contract history of the respondent, executive management, project <br />management, governing board members, and/or principal officers. Respond to each request for information or provide the required <br />supplemental document behind this form. If responses require multiple pages, identify the supporting pages/documentation with the <br />applicable request. <br />Legal Business Name of <br />Respondent: <br />Identifyina Information <br />1. <br /> <br /> <br /> <br />rGfi4 OF C.,. PMGfi4 CnUOi <br />If a No <br /> <br /> <br /> <br />• Full names (1a6t, fimt, middle), and addFesrses fer eanh paFtneF, effireF, and diFeGteF as well ar, th <br /> <br />a f0F-pFSfi Y. <br /> <br />ID YES Q NA <br /> <br />(b) A statement frern a State taxing body, State Merney Genwal, OF GtheF appropriate State <br />e <br />111-1-1 Gertifying that the respeRdeRt organization as a nenpmfit statur, and that none of the <br />e <br />e <br />Page 31 RFP# EMS/LPG - 0328.1