Sonsultant's Questionnaire
Consultanfs Questionnaire
Complete Form and Retum to:
Dutchess County Planning Department
Community DewJopment
27 HI'" Street
Poughkeepsie. New York 12601
1. Company/Name: Clark Patterson Lee
Address: 900 Corporate Blvd., Newburgh, NY 12550
Phone Number: 845-274-9000
2. IRS/SocIal Security #: 16-1283651
3. Project Name: Wappinger Challenger Field
,Location: Robinson Lane Park, Town of Wappinger
contract Number:
-- -
4. Type of Work: Design for instaJ1atio~ of dedicated Handicap Accessible
"Challenger Baseball Field"
5. Amount of Contract: $7,450
6. Date of Award: September 27, 2010
7. Bidding Competitive? (\' or N): Yes
8. Estimated Completion Date: September 2011
9. Are any of the PrindDaI OWners of the Arm:
L A member of a minority lII'Oupp No ~if so. please Indicate race: )
b. Female? No
Co A resident of the Municipality awarding the Contract? No
d. A resident of Dutchess County? No
10. Consultants EmolOVlllent:
All Consultants undertakin. Projects funded through the Community Development
Program must indicate the number, race and gender of employees employed by the Consuaant
Office. Please Indude all employees of the r......, not just those working on Community
Development Projects. Please Indicate whether any employee lives In the municipality in which
the Project actMty is located and qUalifies as a "Section 3 Resident."
Group
Male
Female
WhIte
Black
"Sect. 3 Resident' Non-Resident "Sect. 3 Resident' NOn-Resldent
2 137 37
5 1
4
3
.-
... ..-
Hispanic
Other
lde...(ify Other . Ethnic Group(S)::,~si.a~_..