LiRo Program and Construction Management, PE …

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Three Aerial WayApplication for Subcontractor Syosset, New York 11791 Business Applicant Name TINTypes of Project CategoriesUse this page to indicate which type of project you are applying you are interested in more than one type of project, check each box that corresponds to the type of project your firm is interested in Applicant Name ________________________________EIN_____ _______________Check Here to ApplyExperience<$1M$1M-$5M$5M-$10M>$10MA. Scope of Typical Contract1. General Construction2. Electrical3. Plumbing4. HVAC5. Site Improvements6. Underground Utilities7. Foundations & Excavation8. Windows, including Doors9. Roofing & Waterproofing10. Security Systems11. Hazardous Materials Abatement12. Demolition/ Rubbish Removal13. Brick Work/ Facade Work14. Other_____________________________LiRo Program and Construction management , PE 1 of 5Three Aerial WayApplication for Subcontractor Syosset, New York 11791 Business Applicant Name TINLiRo Program and Construction management , PE D/B/A or Trade Name (if any)Fax # ( ) Website Title Email AddressPrint Name of Person Completing this ApplicationTitleDate Completed1--2--3--4--5-- Business Address Mailing Address (if different) Delivery Address (if different) Phone # () Contact PersonPROJEC

thereby precluding the business applicant from performing work for LiRo Program & Construction Management, PE P.C. for a period of three years.

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