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EXHIBIT 12 (cont.) <br />4, Bffbxts mado to aasist W/MBB in obtaining bonding, livres of crodit or i-nsuraace, and wiy techticai assistance <br />related to t4•ro plans, speci:ftcations and requirea� onts fox the woiic which was provided to W/MBE: <br />None <br />5, Any additional data to suppod a demon8tration of good faith a£fort, such as contracts vvitli W/MBB assistance <br />agenciem; <br />None <br />I declare un, kr penally of perjury that the foregoing tnformalion a true and correct to the best of my knowledge; I <br />understand Oar the City of 8ma Aria arrcl w the U.S Depariment of Xou8ing and 0 -ban Development may verify <br />the infvrmc0ion provided herein in connection wah W/r BL3 compliance evaluaitonlandit aetivirMs and that,faiture <br />to fully ewd truthfully complete this form may rayult in economic or other sanctions, <br />Name of Contractor/Subcontractor, <br />LEHMAN CONSTRUCTION, INC, <br />Conitrf.ctor/Su bcontraetor Identification <br />Number: <br />CSLS License 239670 <br />Address (Street, City, State, Zip): <br />1691 Sierra Alta arrive <br />Santa Ana, CA 92705 <br />:business Racia]IEthnic/Guider Code, <br />Circle the muneric code which itidioates the racial/ethric/gender character of the owners) atd controller(s) of51% <br />of the business, When 51% or more is nbt,6wned and controlled, by any single raciaYethnioity/gender category, <br />circle the ccdo which seems most appropriate, <br />1© White Americans 4 = Hispanio Americans <br />2 = Black Americans 5 = Asian/Pacific Americans <br />3 = Nati.vo Americans 6 W Hasidic Jews <br />Woman Owned Business. <br />Circle One; <br />Yes az• No <br />F:1D0059PROP8Vu$HUDFORMSSMMUBBD4AMp.8*ot]cn39pwsJ)00 23A_3+ <br />