RFP #22-048
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSALS (RFP) #22-048
ON-CALL CONSTRUCTION MANAGEMENT, INSPECTION AND
MATERIALS TESTINGS SERVICES
CONFLICT DISCLOSURE FORM
N/A
Fountainhead Consulting Corporation
Rosalie Acosta, Corporate Secretary
March 17, 2022
N/A N/A
RFP #22-048
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSALS (RFP) #22-048
ON-CALL CONSTRUCTION MANAGEMENT, INSPECTION AND
MATERIALS TESTINGS SERVICES
CONFLICT
DISCLOSURE FORM
Majdi Ataya, PE
President
3/17/2022
N/AN/A N/A
RFP #22-048
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSALS (RFP) #22-048
ON-CALL CONSTRUCTION MANAGEMENT, INSPECTION AND
MATERIALS TESTINGS SERVICES
CONFLICT DISCLOSURE FORM
Jay Thakare, PE / PreScience, a Bureau Veritas Co.
Vice President
3/17/2022
Not Applicable Not Applicable Not Applicable