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Chen Moore and Associates (cma)
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Qualifi cation Information and Assigned PersonnelE-13Continuing Professional Consulting Services (CCNA) <br />Request for Qualifi cations No. 20-07-01 <br />545 E. ALOGONQUIN RD <br />ARLINGTON HEIGHTS, IL 60005 <br />Current Principal Place of Business: <br />Current Mailing Address: <br />545 E. ALOGONQUIN RD <br />ARLINGTON HEIGHTS, IL 60005 US <br />Entity Name: PROFESSIONAL SERVICE INDUSTRIES, INC. <br />DOCUMENT# 856982 <br />FEI Number: 37-0962090 Certificate of Status Desired: <br />Name and Address of Current Registered Agent: <br />CORPORATION SERVICE COMPANY <br />1201 HAYS STREET <br />TALLAHASSEE, FL 32301-2525 US <br />The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. <br />SIGNATURE: <br />Electronic Signature of Registered Agent Date <br />Officer/Director Detail : <br />I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under <br />oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears <br />above, or on an attachment with all other like empowered. <br />SIGNATURE: <br />Electronic Signature of Signing Officer/Director Detail Date <br />FILED <br />Feb 04, 2020 <br />Secretary of State <br />4407666076CC <br />TODD ANDREWS SECRETARY <br />02/04/2020 <br />2020 FOREIGN PROFIT CORPORATION AMENDED ANNUAL REPORT <br />No <br />Title PRESIDENT, DIRECTOR <br />Name CARSTEN, CHRIS <br />Address 545 E. ALOGONQUIN RD <br />City-State-Zip: ARLINGTON HEIGHTS IL 60005 <br />Title DIRECTOR <br />Name TIEMANN, GREGG <br />Address 545 E. ALOGONQUIN RD <br />City-State-Zip: ARLINGTON HEIGHTS IL 60005 <br />Title SECRETARY <br />Name ANDREWS, TODD <br />Address 545 E. ALOGONQUIN RD <br />City-State-Zip: ARLINGTON HEIGHTS IL 60005 <br />Title CFO <br />Name BERGFELD, WHITNEY <br />Address 545 E. ALOGONQUIN RD <br />City-State-Zip: ARLINGTON HEIGHTS IL 60005 <br />Title CEO, DIRECTOR <br />Name CAMPBELL, GAVIN <br />Address 545 E. ALOGONQUIN RD <br />City-State-Zip: ARLINGTON HEIGHTS IL 60005 <br />Title TREASURER, VP <br />Name GRIGSBY, MICHAEL <br />Address 200 WESTLAKE PARK BLVD., <br />WESTLAKE BUILDING 4 <br />SUITE 400 <br />City-State-Zip: HOUSTON TX 77079 <br />Title ASST. SECRETARY, VP <br />Name HARKNESS, DARRIN <br />Address 200 WESTLAKE PARK BLVD., <br />WESTLAKE BUILDING 4 <br /> SUITE 400 <br />City-State-Zip: HOUSTON TX 77079 <br />Title ASST. TREASURER <br />Name COUROSSI, TIM <br />Address 200 WESTLAKE PARK BLVD., <br />WESTLAKE BUILDING 4 <br />SUITE 400 <br />City-State-Zip: HOUSTON TX 77079 <br />Title <br />Name <br />Address <br />REGIONAL VICE PRESIDENT <br />VILLEGAS, JUAN <br />7950 NW 64TH STREET <br />City-State-Zip: MIAMI FL 33166 <br />-Ѵv;;v_;-uvķ";1u;|-u!om ;"-m|bvķo;umou <br />"$$ ! <br /> !$$ &""" ! ""!&$ <br />! ! ""!" <br />$! ""!!"" & !$ <br />!("" $!ƓƕƐķ ! "$$&$" <br />!,ķ!"ĺ <br /> omo|-Ѵ|;u|_bv7o1l;m|bm-m=oulĺ <br />ѶƔƏƏ")ѶƐ"$ <br />"&!ĹѵƒƔƑƐ <br />*!$ $Ĺ !&!+ƑѶķƑƏƑƐ <br />$_bvbvouѴb1;mv;ĺ|bvmѴ-=Ѵ=ou-mom;o|_;u|_-m|_;Ѵb1;mv;;|ov;|_bv7o1l;m|ĺ <br /> ƒƒƐƓƒ <br />Ѵ-v;ub=Ѵb1;mv;vomѴbm;-| Ѵoub7-b1;mv;ĺ1ol <br />SUBCONSULTANTS <br />Professional Service Industries, Inc. <br />Geotechnical Engineering
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