2023A-09641-CHC-ROC Notice of Hearing and Packet MAILED

2023A-09641-CHC-ROC · Registrar of Contractors · 2023-10-26

REGISTRAR OF CONTRACTORS OF THE STATE OF ARIZONA Pat Lavallee , Case No. 2023-09641 COMPLAINANT, Docket No. 2023A-09641-CHC-ROC v. NOTICE OF HEARING ON CONTESTED CASE M & M Diversified LLC License No. ROC 288011,

RESPONDENT.

This Notice of Hearing is issued under A.R.S. § 41-1092.05(D).

HEARING INFORMATION The hearing is set for:

December 13, 2023 1:00 PM Jenna Clark Google Meet. A link will be provided directly from The Office of Administrative Hearings. Go to www.azoah.com to request to appear in-person.

If you have requested to appear in-person at the hearing, the hearing will be held at 1740 W Adams Street, Phoenix, AZ 85007.

You must attend this hearing. This is an adversarial hearing before an administrative law judge, and is conducted in a similar manner as judicial proceedings. Thus, you must be

prepared to present evidence, including witness testimony and documents, in support of your case.

STATEMENT OF LEGAL AUTHORITY AND JURISDICTION The State of Arizona has determined that the licensing and regulation of construction contractors is a proper state function, and has vested authority in the Registrar of Contractors to administer Title 32, Chapter 10 of the Arizona Revised Statutes. A.R.S. §§ 32-1101 et seq. All hearings for alleged violations of Title 32, Chapter 10 are conducted under Title 41,

Chapter 6, Article 10. A.R.S. § 32-1156.

The statutes and rules governing the hearing can be found at: Arizona Revised

Statutes §§ 41-1092 to -1092.12, and Arizona Administrative Code R2-19-101 to -122.

PARTICULAR ARIZONA STATUTES AND RULES INVOLVED The statutes and rules the Respondent is alleged to have violated are cited in the

complaint and citation, which were served on the Respondent on October 3, 2023. SHORT AND PLAIN STATEMENT OF THE MATTERS ASSERTED The complaint and citation allege that the Respondent committed the following act(s): Charge: 1 A.R.S. § 32-1154(A)(3) - R4-9-108(a)

Charge: 2 A.R.S. § 32-1154(A)(12) - A.R.S. § 32-1158

Charge: 3 A.R.S. § 32-1154(A)(22)

THE PARTIES TO THE ADMINISTRATIVE HEARING Because Respondent is a licensee and is charged with an act(s) or omission(s) that is

cause for the suspension or revocation of a license, Respondent is a party to this case and will

be a party to the hearing.

Because Complainant alleged Respondent committed an act(s) or omission(s) that is cause for the suspension or revocation of a license, Complainant is a party to this case and will be a party to the hearing. Respondent and Complainant, as the parties to the hearing, will present evidence and argument to the administrative law judge. The Registrar’s assigned investigator will appear as a witness at the hearing.

RIGHT TO BE REPRESENTED The parties to the administrative hearing may choose to be represented by an attorney. A.R.S. § 41-1092.07(B). If one of the parties is a company, the company may be represented

by an officer or employee if that person satisfies the conditions set forth in A.R.S. § 32-

1156(B).

CHANGE OF ADDRESS Each party must inform the Registrar and the Office of Administrative Hearings of

any change of address within five (5) days of the change. A.R.S. § 41-1092.04.

HEARING PROCEDURES AND RULES The administrative hearing will be conducted in accordance with A.R.S. §§ 41-1092

to -1092.12, and A.A.C. R2-19-101 to -122. The parties should review the statutes, rules, and processes governing the administrative hearing. Copies of the statutes, rules, and articles

regarding the administrative hearing process can be found at https://www.azoah.com/.

REGISTRAR’S APPEARANCE BY VIDEO CONFERENCE OR TELEPHONE

The Registrar’s investigators, employees, and attorneys will appear at the hearing via

video conference or telephone unless requested by a party to appear in-person. Requests for

the Registrar’s investigators, employees, or attorneys to appear in-person must be filed with the Registrar and the Office of Administrative Hearings no later than seven (7) calendar days prior to the hearing date.

HEARING PACKET In the interests of administrative efficiency, the Registrar compiles and discloses certain documents to the parties and the Office of Administrative Hearings. These documents are attached to this Notice of Hearing as the “Hearing Packet.” If any party wishes to submit additional evidence, they must do so during the hearing after completing a disclosure statement. See “Disclosure Statement” section below.

SUBPOENAS FOR TESTIMONY FROM A WITNESS OR DOCUMENTS The parties to the hearing must be prepared to present evidence in support of their case. If a party wants to obtain testimony from a witness or documents not in the party’s possession, the party must prepare and file a written subpoena for the Administrative Law Judge to review and sign, if approved. A.R.S. § 41-1092.07(C). Forms for requesting a subpoena can be found on the Office of Administrative Hearings’ website at www.azoah.com. The party seeking a subpoena must serve notice on all the parties to the hearing, and on the Registrar. A.R.S. § 41-1092.04.

DISCLOSURE STATEMENT At least seven calendar days before the hearing, each party must prepare and serve a

disclosure statement on all other parties, and file it with the Office of Administrative Hearings.

A.A.C. R4-9-118; A.A.C. R2-19-108. The disclosure statement must include any exhibit the

party will use at the hearing. A party’s failure to timely disclose any witness or exhibit, without good cause, may result in the administrative law judge excluding those witnesses or exhibits from being used at the hearing. A.A.C. R4-9-118(C). A sample disclosure form is available on the Registrar’s website at https://roc.az.gov/content/prehearing-disclosure- statement.

CHANGING THE HEARING DATE

The date of the hearing may only be advanced or delayed on the agreement of the parties or on a showing of good cause. A.R.S. § 41-1092.05(C). The date of the hearing may be changed by filing a written agreement of the parties to change the date of the hearing. The written agreement must be filed with the Office of Administrative Hearings, directed to the assigned Administrative Law Judge, and transmitted to the Registrar and all other parties. The assigned Administrative Law Judge may be found on the Office of Administrative Hearings’ web portal at www.azoah.com If a party would like to move the date of the hearing without agreement of all parties, the party must file a written motion with the Office of Administrative Hearings, directed to the

assigned Administrative Law Judge, and transmit a copy to the Registrar and all other parties.

The motion must state in detail good cause for why the date of the hearing should be advanced

or delayed, and the position of all other parties regarding the advancement or delay.

A party may also file a motion asserting a right to an expedited hearing upon a showing of extraordinary circumstances or the possibility of irreparable harm. A.R.S. § 41-1092.05(E).

RESOLUTION SHORT OF ADJUDICATION

In any case which is resolved or settled by the parties, or which is withdrawn by the

Complainant without objection from Respondent after the Notice of Hearing is issued, the parties must notify the Office of Administrative Hearings of the resolution or settlement. Any such cases will be listed on the Registrar’s website and its records under the category: “Closed Complaints – Resolved/Settled/Withdrawn.” Dated October 26, 2023.

By: /s/ Erika Hoskin Erika Hoskin Legal Secretary Legal Department Arizona Registrar of Contractors Copy mailed via USPS First Class mail October 26, 2023 to:

Respondent(s) M & M Diversified LLC 910 Plaza Del Gado Sierra Vista, AZ 85635 Complainant(s) Pat Lavallee 6128 W McRae Way Glendale, AZ 85308

Copy sent electronically this same date to:

Respondent at email address on record with the Registrar Complainant at email address on record with the Registrar

Case No. 2023-09641 /

Katie Hobbs, Governor Martin Quezada, Director

Hearing Packet FAQ What is the Hearing Packet?

The Hearing Packet is a packet of certain documents collected or issued by the Registrar over the course of its investigation.

Who gets the Hearing Packet?

The Hearing Packet is assembled and distributed to all parties and to the Office of Administrative Hearings (“OAH”) prior to an administrative hearing.

What types of cases does the Registrar prepare a Hearing Packet for?

The Registrar prepares a Hearing Packet for Complainant-Handled Cases and No-Pay Cases. Note: If the Docket Number on the Notice of Hearing contains a “CHC” or “NPC”, your case is a Complainant-Handled Case or a No-Pay Case.

What is in the Hearing Packet?

The Hearing Packet contains essential case-specific documents and at a minimum will include the following documents:

● Original complaint;

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812 602.542.1525 · Within AZ 877.692.9762 · Fax 602.542.1599 · roc.az.gov Hearing Packet FAQ

Katie Hobbs, Governor Martin Quezada, Director

● Citation; and ● Answer.

The Hearing Packet will also contain the following documents (if applicable):

● Jobsite inspection notices, notes, and photos; ● Written directives; and ● Compliance inspection notices, notes, and photos.

What if there are documents missing from the Hearing Packet?

If there is any evidence you submitted to the Registrar that are not included in the Hearing Packet it is your responsibility to introduce that evidence at the administrative hearing. Note: The administrative law judge assigned to your case does not have access to the entire Registrar record.

If there is additional evidence you submitted to the Registrar during the investigation that you also want to introduce as evidence during your hearing, it is your responsibility to:

● Properly disclose that evidence to the other party; and ● Introduce the evidence during your hearing.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812 602.542.1525 · Within AZ 877.692.9762 · Fax 602.542.1599 · roc.az.gov Hearing Packet FAQ

Katie Hobbs, Governor Martin Quezada, Director

How do I disclose evidence I intend to use at a Hearing?

You must properly disclose any and all documents and witnesses you intend to use at your hearing according to the Registrar’s Prehearing Disclosure Rules. See Arizona Administrative Code Section R4-9-118.

A sample prehearing disclosure form and instructions are provided to the parties by the Registrar.

How do I obtain documents I previously submitted to the Registrar?

If you previously submitted documents to the Registrar and need a copy of these documents, please contact the Registrar’s Legal Department or submit a public records request at https://roc.force.com/AZRoc/s/roc-public-request.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812 602.542.1525 · Within AZ 877.692.9762 · Fax 602.542.1599 · roc.az.gov Hearing Packet FAQ

Complainant: Pat Lavallee 6128 W McRae Way Glendale, AZ 85308

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 Respondent: M & M Diversified LLC DBA: 910 Plaza Del Gado Sierra Vista, AZ 85635

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 August 22, 2023

Jobsite Inspection Notice Re: Complaint Number 2023-09641

Dear Complainant and Respondent:

A formal complaint has been filed with the Arizona Registrar of Contractors.

A jobsite inspection is scheduled for September 12, 2023 at 10:00 AM. The Complainant is required to be present. The Respondent’s attendance is requested and encouraged. The Registrar encourages both parties to make a good faith effort to resolve this complaint prior to the jobsite inspection.

COMPLAINANT: 1. Under A.R.S. § 32-1155(D)(1), the Respondent must be allowed, upon request, the opportunity to inspect the work complained of within fifteen (15) days of receiving this notice. If Respondent is not provided an opportunity to inspect the work within the fifteen (15) day time period, the Registrar may be prohibited from taking further action on this complaint. 2. The Registrar may also be precluded from taking further action on this complaint, if the work that is the subject of the complaint is subject to neglect, modification, or abnormal use. A.R.S. § 32-1155(D)(2) 3. You must provide safe access to any area to be inspected. If access to a roof or other elevated area is required, you must provide a means to safely access the area (ladder or manlift as appropriate). Additionally, please secure any animals.

RESPONDENT: 1. Enclosed is a copy of the complaint. Under A.R.S. § 32-1155(D) you must be allowed, upon request, the opportunity to inspect the work complained of within fifteen days of the date of receipt of this notice. 2. To assist the assigned investigator in evaluating the merits of the complaint, please submit a response to the enclosed complaint to the assigned investigator prior to the scheduled inspection. 3. If you do not attend the jobsite inspection, your absence may negatively impact the investigation, and your interests. 4. If a building permit(s) was required for this project, please have the building permit information available at the jobsite inspection.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 If either party needs to reschedule the jobsite inspection, please notify the assigned investigator at least three business days prior to the inspection date to schedule a new date and time.

If the parties resolve the complaint prior to the inspection, please notify the assigned investigator in writing and by phone as soon as possible.

Sincerely, Mike Springer Mike Springer, Investigator #192 520 5089735 [email redacted] 1700 W Washington St,Suite 105 Phoenix, Arizona 85007-2812

CC: Choose an item. Choose an item. Choose an item. Choose an item.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 A Guide to Jobsite Inspections

Purpose of the Jobsite Inspection When the Registrar receives a complaint against a contractor’s license alleging poor workmanship, the Registrar generally schedules a Jobsite Inspection. The Jobsite Inspection serves two purposes: 1. To give the contractor an opportunity to inspect the complaint items; and 2. To give the Registrar an opportunity to determine if the contractor’s work violates Arizona law.

Jobsite Inspection Rights and Responsibilities Access to inspect: The property owner has complete control over who they allow on the property. However, if the Registrar’s investigator or the contractor cannot inspect the work, the Registrar will not move forward with a citation.

Cooperation: Arizona law enables injured parties to seek relief for damages through several paths. When dealing with a licensed contractor, the Registrar of Contractors’ administrative complaint process may serve as one of those possible paths. However, in order to use that path, the Registrar relies on the cooperation of all parties to a complaint.

Minimum workmanship: The Registrar investigates workmanship complaints for compliance with minimum workmanship and professional industry standards. The Registrar does not issue citations for work that meets these standards.

Scope: The scope of the Jobsite Inspection is limited to items listed in the complaint filed with the Registrar’s office. It is the complainant’s responsibility to point out the complaint item(s) and the Investigators role to review the item(s). If the complainant identifies additional workmanship items not listed in the original complaint, they must file an addendum to the complaint. The Registrar’s Investigator may identify additional administrative violations by the contractor (e.g. work performed out of scope of the license and failure to provide a contract that meets requirements set by Arizona law) at the time of the inspection.

The Role of the Investigator At the Jobsite Inspection, the Registrar’s investigator will: ● Only investigate the items listed on the complaint form filed with the Registrar. ● Will gather evidence to make an informed decision about the complaint items.

What to expect after a Jobsite Inspection After doing a Jobsite Inspection, the Registrar’s Investigator will leave the jobsite and review the evidence provided during the inspection. Generally, the investigator does not make any determination at the time of the jobsite inspection regarding whether the allegations listed in the complaint are supported. ● If the allegations are confirmed, the Registrar’s Investigator may issue a Written Directive telling the contractor to correct the poor or incomplete work. ● If the allegations are not confirmed, the Registrar’s Investigator will close the complaint.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 If you have not filed a complaint yet or have not been assigned an investigator, you can reach the Registrar’s compliance department at (877) 692-9762.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 A Guide to Written Directives Purpose of the Jobsite Inspection When the Registrar receives a complaint against a contractor’s license, the Registrar generally schedules a Jobsite Inspection. The Jobsite Inspection serves two purposes: 1. To give the contractor an opportunity to inspect the complaint items; and 2. To give the Registrar an opportunity to determine if the contractor’s work violates Arizona law.

What to expect after a Jobsite Inspection After doing a Jobsite Inspection, the Registrar’s Investigator will determine whether the allegations listed in the complaint are supported. ● If the allegations are confirmed, the Registrar’s Investigator may issue a Written Directive telling the contractor to correct the poor or incomplete work. ● If the allegations are not confirmed, the Registrar’s Investigator will close the complaint.

Written Directives Access: In order to use the administrative process offered by the Registrar, a property owner must provide reasonable access to allow the contractor to fix their work as directed by the Registrar in a Written Directive. Complainants may not put any additional, unnecessary restrictions on the Respondent above and beyond the initial contract requirements agreed upon at the beginning of the project. Respondents are required to make repairs on items identified on any Written Directive, not otherwise restricted by local code or HOA limitations. Complainants must make access available to the Respondent to make the required repairs and failure to provide reasonable access may result in the Registrar dismissing the complaint.

Contractor obligations: The Written Directive will set a deadline for compliance. This is the period of time determined by the Investigator as necessary to complete the items listed in the Directive. ● The deadline for compliance assumes the contractor will promptly begin working on the items listed in the Directive. ● Do not wait. Both parties should communicate quickly to schedule the work.

Extensions: If good cause exists to extend this deadline, either party may submit a written request to the Investigator. The Registrar will review requests for extension and determine if the Directive should be extended.

Manner and method of performance: The Registrar does not provide specific instructions for how to correct poor work. A licensed contractor is expected to have the skill and professionalism to complete the work. Moreover, the complainant may not dictate the manner of repair. If the contractor fails to appropriately correct the work according to the contract, the Registrar will issue a citation.

Compliance Inspection: After the Written Directive expires, the Registrar’s Investigator will contact the complainant to determine if the contractor performed any corrective work. ● If the contractor did corrective work, the Investigator may schedule a Compliance Inspection to determine if the poor work is corrected. ● If the contractor did not perform any corrective work, the Registrar’s Investigator will not do a Compliance Inspection and will determine whether to issue a citation based on the administrative record.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 Work performed after the directive ends: After the Directive period ends, a property owner may choose to allow the contractor to continue its work. The Registrar encourages parties to work cooperatively, but cannot require a homeowner to continue to allow a contractor access to the property after the Directive period ends in order for the administrative process to continue. Denying access after the Directive ends is not grounds to close or dismiss a complaint.

Questions? If you have already filed a complaint and it was assigned to an investigator, you are encouraged to contact that investigator directly with the information listed in your jobsite inspection letter. If you have not filed a complaint yet or have not been assigned an investigator, you can reach the Registrar’s compliance department at (877) 692-9762.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C008 05/21 Jobsite Inspection Notes

Case No.: 2023-09641 Investigator: Mike Springer Inspection Date: September 12, 2023 Inspection Time: 10:00 AM

Complainant: Pat Lavallee Respondent: M & M Diversified Not Present: LLC Not Present:

Jobsite General Notes: Photos were taken to document items. The complainant and I addressed each item of the complaint. JSI audio recorded.

Complaint Item: 1 - outside deck stairs are questionable Investigator’s Observation: Verified: Old decking was to be removed and rebuilt new. Some old support posts remain. handrail materials have wood patch or similar material that is failing. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Complaint Item: 2 - Unit 1: flooring not meeting entry, incomplete unit, walls, flooring through out units did not receive the underlayment, original tub replaced in unit 1, no wood painted through out units. Investigator’s Observation: Verified: Units tub was to be replaced and was not. Drywall was used to back tile walls and can be seen from adjacent unfinished units. Should have been cement board. Flooring at front door is cut short. Flooring was also installed over existing tile floor. Very squeaky when walked on, no underlayment was used per contract. Walls, doors and trim are not painted. 1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov RCC100 08/19

Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Complaint Item: 3 - Unit 3: incomplete unit, missing kitchen, bathroom, flooring, bathroom fixtures, flooring, walls, flooring through out units did not receive the underlayment, Investigator’s Observation: This unit is incomplete throughout. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Complaint Item: 4 - Unit 4: flooring not meeting entry, weak flooring, bathroom, walls, flooring through out units did not receive the underlayment. Investigator’s Observation: Poor finishing on walls and poor paint. Flooring is cut short at front door. No underlayment used on flooring, flooring is being installed over original tile. Countertop is short near stove. Shelving missing at kitchen cabinet on left side. Trim missing at bathroom sink. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Complaint Item: 5 - Unit 5: questionable counter placement in unit 5. missing shelves in kitchen cabinet unit 5. Investigator’s Observation: Original toilet still in place, Kitchen backsplash not painted. Flooring in bathroom is very soft and does not match the rest of the unit. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov RCC100 08/19

Complaint Item: 6 - black mold, a bathroom leak was remedied by leaving a big gulp cup for two weeks. the cup had a bite out of the rim. the leak was stronger than the cup. Black mold appeared on walls and floors and into the adjoining bedroom walls; Investigator’s Observation: I did not see any mold, it would not have been a workmanship item other than the unfinished work already noted in previous items. Governing Rule: N/A

Complaint Item: 7 - verbal agreement that units 1,3,4,5, would repeat as with unit 6, however the written contract for the remaining units left out ceiling. some ceilings were painted which lead me to believe it was how we aggreed.; Investigator’s Observation: Nothing in contract regarding painting of ceilings, only walls, trim. Governing Rule: N/A

Complaint Item: 8 - I need help interpreting industrial standards in relation finish work Investigator’s Observation: General statement, not a workmanship item. Governing Rule: N/A

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov RCC100 08/19

Complainant: Pat Lavallee 6128 W McRae Way Glendale, AZ 85308

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C009 04/21 Respondent: M & M Diversified LLC DBA: 910 Plaza Del Gado Sierra Vista, AZ 85635

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C009 04/21 September 12, 2023

License No. ROC 288011

Re:Complaint No. 2023-09641

WRITTEN DIRECTIVE FROM THE REGISTRAR

Dear Respondent:

After investigation, the Registrar determined that you failed to meet the requirements of A.R.S. § 32-1154(A), and now issues this Directive requiring you to take appropriate corrective action. Failure to comply with this Directive constitutes a violation of A.R.S. § 32-1154(A)(22) and may result in the issuance of a citation, discipline of your license, and a civil penalty pursuant to A.R.S. § 32-1154(E) of up to $500.00. You must notify the Registrar’s assigned Investigator of your compliance with this Directive prior to 5:00 p.m. on September 29th, 2023.

RESTRICTIONS • You may not perform or hire other contractors to perform work that is outside the scope of your license. • If your license is currently suspended for administrative reasons 1, or is inactive, expired, or cancelled, you may not perform any corrective work nor contract in any manner, which includes hiring other contractors to perform work, until the suspension of your license(s) has been lifted or your license(s) has been reactivated.

DIRECTIVE REQUIREMENTS You are directed to remedy the following violations by the appropriate means:

Compliance Item: 1 - outside deck stairs are questionable Investigator’s Observation: Verified: Old decking was to be removed and rebuilt new. Some old support posts remain. handrail materials have wood patch or similar material that is failing. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

This means the license is suspended for lack of qualifying party, lack of bond, nonrenewal, Recovery Fund payout, or for any reason listed in A.R.S. § 32-1124(F). 1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C009 04/21 Compliance Item: 2 - Unit 1: flooring not meeting entry, incomplete unit, walls, flooring through out units did not receive the underlayment, original tub replaced in unit 1, no wood painted through out units. Investigator’s Observation: Verified: Units tub was to be replaced and was not. Drywall was used to back tile walls and can be seen from adjacent unfinished units. Should have been cement board. Flooring at front door is cut short. Flooring was also installed over existing tile floor. Very squeaky when walked on, no underlayment was used per contract. Walls, doors and trim are not painted. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Compliance Item: 3 - Unit 3: incomplete unit, missing kitchen, bathroom, flooring, bathroom fixtures, flooring, walls, flooring through out units did not receive the underlayment, Investigator’s Observation: This unit is incomplete throughout. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Compliance Item: 4 - Unit 4: flooring not meeting entry, weak flooring, bathroom, walls, flooring through out units did not receive the underlayment. Investigator’s Observation: Poor finishing on walls and poor paint. Flooring is cut short at front door. No underlayment used on flooring, flooring is being installed over original tile. Countertop is short near stove. Shelving missing at kitchen cabinet on left side. Trim missing at bathroom sink. Governing Rule: Violation of any rule adopted by the Registrar;

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C009 04/21 Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

Compliance Item: 5 - Unit 5: questionable counter placement in unit 5. missing shelves in kitchen cabinet unit 5. Investigator’s Observation: Original toilet still in place, Kitchen backsplash not painted. Flooring in bathroom is very soft and does not match the rest of the unit. Governing Rule: Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner.

ITEMS NOT REQUIRING CORRECTION The following complaint items require no action by the Respondent:

Compliance Item: 6 - black mold, a bathroom leak was remedied by leaving a big gulp cup for two weeks. the cup had a bite out of the rim. the leak was stronger than the cup. Black mold appeared on walls and floors and into the adjoining bedroom walls; Investigator’s Observation: I did not see any mold, it would not have been a workmanship item other than the unfinished work already noted in previous items. Governing Rule: N/A

Compliance Item: 7 - verbal agreement that units 1,3,4,5, would repeat as with unit 6, however the written contract for the remaining units left out ceiling. some ceilings were painted which lead me to believe it was how we aggreed.; Investigator’s Observation: Nothing in contract regarding painting of ceilings, only walls, trim. Governing Rule: N/A

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C009 04/21 Compliance Item: 8 - I need help interpreting industrial standards in relation finish work Investigator’s Observation: General statement, not a workmanship item. Governing Rule: N/A

Please direct all questions regarding this Directive to the undersigned Investigator.

Sincerely,

Mike Springer Mike Springer, Investigator #192 520 5089735 [email redacted] 1700 W Washington St,Suite 105 Phoenix, Arizona 85007-2812

CC: Respondent Choose an item. Choose an item. Choose an item.

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov C009 04/21 REGISTRAR OF CONTRACTORS OF THE STATE OF ARIZONA

Pat Lavallee, Case No. 2023-09641 COMPLAINANT, v. M & M Diversified LLC CITATION License No. ROC 288011,

RESPONDENT.

The Registrar issues this Citation to M & M Diversified LLC (“Respondent”) under A.R.S. § 32-1155(A). If Respondent fails to answer this Citation by October 18, 2023, then under A.R.S. § 32-1155(C), Respondent’s failure to answer may be deemed an admission of the act or acts charged in the underlying complaint, and the Registrar may then suspend or revoke Respondent’s license(s). THE WRITTEN COMPLAINT On August 21, 2023, Pat Lavallee (“Complainant”) filed a written complaint with the Registrar. A copy of that Complaint is attached to this Citation. A FORMAL STATEMENT OF THE CHARGES AGAINST RESPONDENT The Registrar investigated this matter and finds cause to charge Respondent with violation(s) of Title 32, Chapter 10 of the Arizona Revised Statutes. Respondent is charged with violating: Charge :1 A.R.S. § 32-1154(A)(3) - R4-9-108(a) Violation of any rule adopted by the Registrar; Namely A.A.C. R4-9-108(a): A contractor shall perform all work in a professional and workmanlike manner. of 5

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg101 8/21 Charge :2 A.R.S. § 32-1154(A)(12) - A.R.S. § 32-1158 Failure in any material respect to comply with this chapter; Namely A.R.S. § 32-1158. Charge :3 A.R.S. § 32-1154(A)(22) Failure to take appropriate corrective action to comply with this chapter or with rules adopted pursuant to this chapter without valid justification within a reasonable period of time after receiving a written directive from the Registrar. The written directive shall set forth the time within which the contractor is to complete the remedial action. The time permitted for compliance shall not be less than fifteen days from the date of issuance of the directive. A license shall not be revoked or suspended nor shall any other penalty be imposed for a violation of this paragraph until after a hearing has been held. If the matter proceeds to a hearing and the administrative law judge determines that any of the charges listed above are supported by a preponderance of the evidence, then Respondent’s license(s) may be subject to suspension or revocation, and Respondent may be subject to other penalties provided by law, including civil penalties under A.R.S. §§ 32-1154(E) and (F). FILING A WRITTEN ANSWER Respondent must appear by filing with the Registrar a written answer to the citation and complaint showing cause, if any, why Respondent’s license(s) should not be suspended or revoked. A.R.S. § 32-1155(A). Respondent’s written answer should contain the heading “Written Answer to Citation and Complaint” and should include the case number, which is Case No. 2023-09641. How to File a Written Answer: Respondent’s written answer may be submitted in the following ways: In-Person: 1700 W. Washington St., Ste. 105, Phoenix, Arizona, 85007-2812 Mail: P.O. Box 18244, Phoenix, Arizona, 85005-8244 Email: [email redacted] of 5

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg101 8/21 The Registrar’s normal office hours are 8:00 a.m. to 5:00 p.m., Monday through Friday. If Respondent submits a written answer by mail, it is not filed with the Registrar until the Registrar actually receives it. Deadline for Filing a Written Answer: Respondent must file a written answer with the Registrar no later than October 18, 2023. This deadline is calculated under A.R.S. §§ 32-1155(A) and (B), which provides a deadline ten days after service of the Citation. Service of the Citation and Complaint is complete five days after the Registrar mails a copy of the Citation and Complaint to Respondent’s latest address of record in the Registrar’s office. Consequences for Failing to File a Written Answer: If Respondent fails to answer, Respondent’s failure may be deemed an admission of the act or acts charged in the written complaint. A.R.S. § 32-1155(C). The Registrar may then suspend or revoke Respondent’s license(s). THE ADMINISTRATIVE HEARING If Respondent files a timely written answer contesting any charges in the Complaint, then the Registrar will request the Office of Administrative Hearings set a date for an administrative hearing and will notify all the parties at least 30 days before that hearing. A.R.S. § 41-1092.05(D). INVESTIGATOR’S APPEARANCE AS A WITNESS The Registrar’s assigned investigator will appear as a witness at the hearing. If either party demands the attendance at the hearing of any other person, that party must obtain and serve a subpoena in compliance with the rules and processes established by the Office of Administrative Hearings. RESPONDENT’S RIGHT TO REQUEST AN INFORMAL SETTLEMENT CONFERENCE Under A.R.S. § 41-1092.06, if Respondent submits a request to the Registrar for an of 5

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg101 8/21 informal settlement conference, the Registrar must hold a conference within 15 days after receiving the request. Respondent’s request for an informal settlement conference must be in writing and must be filed no later than 20 days before the administrative hearing. A.R.S. § 41- 1092.06(A). The Registrar will not close or settle any case without both parties’ appearance at the Settlement Conference. The parties participating in the settlement conference must have the authority to settle the case and must waive their right to object to the participation of the Registrar’s settlement conference representative in the final administrative decision. A.R.S. § 41-1092.06(B). Any statements, either written or oral, made by the parties at the conference, including a written document, created or expressed solely for the purpose of settlement negotiations, are inadmissible in the administrative hearing. A.R.S. § 41-1092.06(B). RESPONDENT’S PRIOR RECORD Under A.A.C. R4-9-117, in determining the appropriate discipline, the administrative law judge and the Registrar may consider not only facts in the current case, but also facts in prior cases and any documents regarding Respondent on file with the Registrar. Respondent’s prior disciplinary record and current license(s) status may be considered as a mitigating or aggravating factor in determining the appropriate discipline. EVIDENTIARY DISCLAIMER By issuing this Citation, the Registrar is directing Respondent to file a written answer to the Citation and Complaint, showing cause, if any, why Respondent’s license(s) should not be suspended or revoked. A.R.S. § 32-1155(A). This Citation does not constitute proof that any charge or allegation in Complainant’s written complaint is in fact true. This Citation does not constitute proof that Respondent violated any statutory provision or rule adopted by the Registrar. of 5

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg101 8/21 Dated October 3, 2023. By: /s/ Erin Johnson Erin Johnson Legal Assistant II Legal Department Arizona Registrar of Contractors COPY of the foregoing mailed by Certified Mail, Return Receipt Requested, October 3, 2023 to: Respondent Certified Mail No: [number redacted] M & M Diversified LLC 910 Plaza Del Gado Sierra Vista, AZ 85635

Copy mailed by USPS First Class mail this same date to: M & M Diversified LLC 910 Plaza Del Gado Sierra Vista, AZ 85635 Complainant Pat Lavallee 6128 W. McRae Way Glendale, AZ 85308 Copy sent electronically this same date to:

Respondent at email address on record with the Registrar Complainant at email address on record with the Registrar

Case No. 2023-09641 / EJ

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1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812

602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg101 8/21 Licensed Complaint Form Departmental Use Only For Current or Suspended Licensees

Person Filing Complaint Full Name (First Middle Last) Business Name (if a licensed contractor or supplier) ROC License Number(s) (if any)

Pat Lavallee Mailing Address (Enter jobsite in Contract/Project section) City State Zip

6128 W McRae Way Glendale Arizona 85308 Phone Number Email

[number redacted] [email redacted] I consent to receive communications electronically in connection with this case Name of Attorney (if any)

Street Address of Attorney City State Zip

Phone Number of Attorney Email of Attorney

Contractor Information Name (as shown on contract/invoice) ROC License Number(s)

M & M Diversified LLC ROC 288011 Street Address City State Zip

910 Plaza Del Gado Sierra Vista AZ 85635 Phone Number Email

[number redacted] [email redacted] Name of Person(s) Representing License

Sean Mendoza Contract/Project Information Contract Date Contract Amount Amount Paid

September 9, 2022 $57,000.00 $52,000.00 Date Work Started Date Work Stopped Date Work Was Completed

September 9, 2022 August 21, 2023 Close of Escrow (New Home) Move-In Date (New-Home)

Jobsite Street Address City State Zip

1116 E. Fremont St. Tombstone AZ 85638 Name of Construction Site Owner Construction Site Name (if applicable)

Phone Number of Construction Site Owner Email of Construction Site Owner

[number redacted] [email redacted] This complaint is for Poor Work;Other I have contacted the contractor by Phone/Text;Email Have you filed a complaint in court? No Has any work been corrected? No

RCC099 12/05/18 Page 1 of 2 Licensed Complaint Form Departmental Use Only For Current or Suspended Licensees

The contract was Both All change orders were Written This project was Commercial This project involved Remodel

A building permit was obtained by N/A List and briefly describe each complaint item (Please do not write "see attached" or use additional pages unless necessary to further describe issues or list more complaint items) (limited to 100 characters per line)

Shower crumbling; flooring not meeting entry ; weak flooring; incomplete unit, missing kitchen, bathroom, flooring, bathroom fixtures, flooring, walls; flooring through out units did not receive the underlayment ; original toilet replaced in unit 6, original tub replaced in unit 1; outside deck stairs are questionable; no wood painted through out units, 1,3,4,5,6; verbal agreement that units 1,3,4,5, would repeat as with unit 6, however the written contract for the remaining units left out ceiling. some ceilings were painted which lead me to believe it was how we aggreed.; missing moldings; questionable counter placement in unit 5.; missing shelves in kitchen cabinet unit 5; black mold, a bathroom leak was remedied by leaving a big gulp cup for two weeks. the cup had a bite out of the rim. the leak was stronger than the cup. Black mold appeared on walls and floors and into the adjoining bedroom walls; I need help interpreting industrial standards in relation finish work.

Signature I declare under penalty of perjury that the information and documents contained on this Complaint Form, included with this complaint, or hereafter submitted in support of this complaint are true and accurate to the best of my knowledge. I will assist in the investigation or in the prosecution of the contractor or other parties, and will, if necessary, attend hearings and testify to facts. Printed Name Signature Date

Pat Lavallee \complainant1\ \complainantd1\

RCC099 12/05/18 Page 2 of 2 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

Estimate ADDRESS ESTIMATE # 1346 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. Tombstone, Az 85638

ACTIVITY QTY RATE AMOUNT

Kitchen cabinets 1 3,985.00 3,985.00 Remove existing cabinets and install new upper cabinets in unit one and one upper cabinet in unit two both units get lower cabinets with new Formica countertops. New double sinks with faucets are to be installed also. New plumbing under sinks will be installed and unit two, the drain and water lines will be moved over so the cabinet can move to the left for new refrigerator opening. ( color and style to be determined). Price includes labor and materials. Construction:Small bathroom remodel 1 4,915.00 4,915.00 Demo existing tub and shower walls. Replace tub with fiberglass tub Install new tile walls, replace shower valve. Replace vanity and faucet. Install new water valves and lines. Install new medicine cabinet. Remove old vanity and install wall hung sink and faucet Install new towel racks and t p holder. Paint bathroom. This is for unit one. Unit two we will remove fiberglass shower enclosure and install new one with new shower valve and glass door. Remove vanity and move plumbing over so that we can move vanity over to the corner to make more space by toilet. Install new vanity and faucet. Materials are at basic part prices and upgrades in tile or other materials may incur price increase. Price includes labor and materials. Construction:Laminate flooring 1 2,400.00 2,400.00 Prep, seal and install laminate flooring for unit two through out. Price includes labor, flooring up to 2.49 a square foot and underlayment. Color is to be close to unit ones grey pattern. Labor:Labor drywall 1 2,250.00 2,250.00 Demo walls and trim areas in unit two to accommodate new 1/4 inch drywall. Scrape texture on ceiling and tape, texture all walls and ceiling that are not brick. Paint all walls and ceiling white. ACTIVITY QTY RATE AMOUNT

TOTAL Half of estimate is due upon acceptance to secure materials and start date. $17,400.00

Accepted By Accepted Date M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Price includes labor and materials Labor:Carpenter labor 1 5,850.00 5,850.00 Remove old decking and rail systems. Replace framing with pressure treated lumber, install new joist hardware and new stair stringers. Delete electrical and put in junction box per code. Install synthetic deck boards and redwood railings for deck and breezeway. Price includes labor and materials Labor:Basic Labor 1 10,515.00 10,515.00 Replace flooring throughout unit with laminate floors same color as other units. $2.49 per square foot allowance. Replace kitchen cabinets and Formica countertops. Replace sink, faucet and plumbing underneath. Remodel bathroom to include new tub, shower valve and tile surround. New 24” vanity and faucet. New towel racks and mirror.

Please deposit $6000.00 for unit 1a. TOTAL 29,915.00 Changes to deck 11/30/22 $2000.00 additional cost DEPOSIT 8,700.00 PAYMENT 19,715.00 BALANCE DUE $1,500.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Price includes labor and materials Labor:Carpenter labor 1 3,850.00 3,850.00 Remove old decking and rail systems. Delete electrical and put in junction box per code. Install synthetic deck boards and redwood railings for deck and breezeway. Price includes labor and materials Labor:Basic Labor 1 10,515.00 10,515.00 Replace flooring throughout unit with laminate floors same color as other units. $2.49 per square foot allowance. Replace kitchen cabinets and Formica countertops. Replace sink, faucet and plumbing underneath. Remodel bathroom to include new tub, shower valve and tile surround. New 24” vanity and faucet. New towel racks and mirror.

Please deposit $6000.00 for unit 1a. TOTAL 27,915.00 DEPOSIT 8,700.00 BALANCE DUE $19,215.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Please deposit $6000.00 for unit 1a. TOTAL 29,915.00 Changes to deck 11/30/22 $2000.00 additional cost DEPOSIT 8,700.00 PAYMENT 3,000.00 BALANCE DUE $18,215.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Please deposit $6000.00 for unit 1a. TOTAL 29,915.00 Changes to deck 11/30/22 $2000.00 additional cost DEPOSIT 8,700.00 PAYMENT 9,500.00 BALANCE DUE $11,715.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Please deposit $6000.00 for unit 1a. TOTAL 29,915.00 Changes to deck 11/30/22 $2000.00 additional cost DEPOSIT 8,700.00 PAYMENT 12,500.00 BALANCE DUE $8,715.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Please deposit $6000.00 for unit 1a. TOTAL 29,915.00 Changes to deck 11/30/22 $2000.00 additional cost DEPOSIT 8,700.00 PAYMENT 16,215.00 BALANCE DUE $5,000.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

ceiling white. Price includes labor and materials Labor:Carpenter labor 1 5,850.00 5,850.00 Remove old decking and rail systems. Replace framing with pressure treated lumber, install new joist hardware and new stair stringers. Delete electrical and put in junction box per code. Install synthetic deck boards and redwood railings for deck and breezeway. Price includes labor and materials Labor:Basic Labor 1 10,515.00 10,515.00 Replace flooring throughout unit with laminate floors same color as other units. $2.49 per square foot allowance. Replace kitchen cabinets and Formica countertops. Replace sink, faucet and plumbing underneath. Remodel bathroom to include new tub, shower valve and tile surround. New 24” vanity and faucet. New towel racks and mirror.

Please deposit $6000.00 for unit 1a. TOTAL 29,915.00 Changes to deck 11/30/22 $2000.00 additional cost DEPOSIT 8,700.00 PAYMENT 21,215.00 BALANCE DUE $0.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1627 Pat Lavallee DATE 03/03/2023 1116 E Freemont St. DUE DATE 03/03/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Construction:Laminate flooring 1 2,800.00 2,800.00 Demo carpet and old flooring, haul off Prep, seal and install laminate flooring. Price includes labor and underlayment and flooring Construction:Tile tub or shower surrond 1 2,600.00 2,600.00 Remove existing tub surround and install new tile surround. This includes demo of old walls and tile and install new water resistant walls and seams water proofed. Remove tub and install new tub and valve. Tile all shower walls. We will supply tile and all materials related to tiling of shower. Tile credit is up to $3.69 per square foot. Kitchen cabinets 1 4,100.00 4,100.00 Remove existing cabinets and install new upper and lower cabinets. ( color grey as in other units). Install new countertops and sink. Install new faucet and water supply lines and drain. Labor:Paint interior 1 915.00 915.00 Prep walls, fill minor cracks and holes. Paint walls, doors and baseboards as needed. Price includes labor and materials. Labor:Labor drywall 1 100.00 100.00 Install 1/4 inch drywall on north wall over paneling. Tape, texture and paint.

BALANCE DUE Half of invoice is needed to start and secure materials. This in this for unit 4. $10,515.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1627 Pat Lavallee DATE 03/03/2023 1116 E Freemont St. DUE DATE 03/03/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Half of invoice is needed to start and secure materials. This in this for PAYMENT 5,257.50 BALANCE DUE unit 4. $5,257.50 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1632 Pat Lavallee DATE 03/30/2023 1116 E Freemont St. DUE DATE 03/30/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Labor:Carpenter labor 1 750.00 750.00 Remove lattice and some framing I. Breezeway behind unit 6, install siding to block wind and rails with ballast. Paint when finished. Labor:Basic Labor 1 850.00 850.00 Remove all swamp coolers on back of units 1-4 and fill in holes inside and out.

BALANCE DUE $1,600.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1632 Pat Lavallee DATE 03/30/2023 1116 E Freemont St. DUE DATE 03/30/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

PAYMENT 1,600.00 BALANCE DUE $0.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1633 Pat Lavallee DATE 03/31/2023 1116 E Freemont St. DUE DATE 03/31/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Labor:Electrical labor 1 1,000.00 1,000.00 Labor per man hour for electrical to replace all switches, outlets and cover plates. Also to repair and separate electrical wires in unit 1s bathroom so that light doesn’t stay on all the time and fan with one light is on it’s own switch. Also other items not included in original bid.

BALANCE DUE $1,000.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1634 Pat Lavallee DATE 05/08/2023 1116 E Freemont St. DUE DATE 05/08/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Construction 1 400.00 400.00 Install metal skinned interior door and frame with threshold. Remove old door and paint to match. Door is between suite 4-6.

PAYMENT 400.00 BALANCE DUE $0.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1634 Pat Lavallee DATE 05/08/2023 1116 E Freemont St. DUE DATE 05/08/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Construction 1 400.00 400.00 Install metal skinned interior door and frame with threshold. Remove old door and paint to match. Door is between suite 4-6.

BALANCE DUE $400.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

Estimate ADDRESS ESTIMATE # 1346 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. Tombstone, Az 85638

ACTIVITY QTY RATE AMOUNT

TOTAL Half of estimate is due upon acceptance to secure materials and start date. $17,400.00

Accepted By Accepted Date M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Please deposit $6000.00 for unit 1a. TOTAL 27,915.00 DEPOSIT 8,700.00 BALANCE DUE $19,215.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1611 Pat Lavallee DATE 09/09/2022 1116 E Freemont St. DUE DATE 09/09/2022 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1627 Pat Lavallee DATE 03/03/2023 1116 E Freemont St. DUE DATE 03/03/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1627 Pat Lavallee DATE 03/03/2023 1116 E Freemont St. DUE DATE 03/03/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

INVOICE BILL TO INVOICE # 1632 Pat Lavallee DATE 03/30/2023 1116 E Freemont St. DUE DATE 03/30/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

BALANCE DUE $1,600.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1632 Pat Lavallee DATE 03/30/2023 1116 E Freemont St. DUE DATE 03/30/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

PAYMENT 1,600.00 BALANCE DUE $0.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1633 Pat Lavallee DATE 03/31/2023 1116 E Freemont St. DUE DATE 03/31/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

BALANCE DUE $1,000.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1634 Pat Lavallee DATE 05/08/2023 1116 E Freemont St. DUE DATE 05/08/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Construction 1 400.00 400.00 Install metal skinned interior door and frame with threshold. Remove old door and paint to match. Door is between suite 4-6.

PAYMENT 400.00 BALANCE DUE $0.00 M and M Diversified, L.L.C. 910 Plaza del Gado Sierra Vista, AZ 85635 US 520-508-5541 [email redacted]

INVOICE BILL TO INVOICE # 1634 Pat Lavallee DATE 05/08/2023 1116 E Freemont St. DUE DATE 05/08/2023 Tombstone, Az 85638 TERMS Due on receipt

DESCRIPTION QTY RATE AMOUNT

Construction 1 400.00 400.00 Install metal skinned interior door and frame with threshold. Remove old door and paint to match. Door is between suite 4-6.

BALANCE DUE $400.00 10/18/23, 8:15 AM State of Arizona Mail - Response

Answers - AZROC <[email redacted]>

Response message

Sean Mendoza <[email redacted]> Tue, Oct 17, 2023 at 7:21 PM To: [email redacted]

This is my response regarding complaint number 2023-09641

First issue is that she filed a complaint before we finished the job. Second she said she did this to make sure we did all the things she had questions about.

As per normal I explained to her that we would do a pick list when done. Item 1) My license was not suspended at the time of contact and a majority of the work. 2) The contract / invoice was changed many times to adapt to customers continued changes in materials and scopes of work. Example, we were to paint walls only in the beginning but after she hired another company to do one unit and they sprayed everything, she decided that that is what she wanted and I need to do at no charge. Which we did to keep her happy and try to finish the job. Other things like no underlayment for vinyl plank flooring. It was not needed due to the fact the the planks have an attached pad and we were installing over vinyl flooring which is more than enough for moisture barrier. My understanding is that she has hired other unlicensed contractors to finish the project and since my license is suspended I would not have been able to finish the project anyway.

Sincerely Sean Mendoza

Sent from my iPhone

https://mail.google.com/mail/b/AEoRXRSHWJF2G6E48Cli4C23NQNaB2GxHGlsdu63yOaTqvLIWLH7/u/0/?ik=581c53cf5c&view=pt&search=all&perm… 1/1 Complaint # 2023- 09641 P 1 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 2 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 3 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 4 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 5 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 6 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 7 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 8 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 9 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 10 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 11 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 12 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 13 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 14 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 15 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 16 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 17 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 18 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 19 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 20 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 21 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 22 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 23 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 24 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 25 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 26 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 27 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 28 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 29 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 30 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 31 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 32 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 33 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 34 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 35 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 36 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 37 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 38 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 39 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 40 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 41 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 42 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 43 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 44 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 45 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 46 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 47 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 48 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 49 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 50 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 51 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Complaint # 2023- 09641 P 52 JSI address: 1116 E. Fremont St. Date: 9-12-23 JSI PHOTOS Mediation Notice

Mediation Services Mediation services are available to the parties. What is Mediation? Mediation is a method of resolving disputes where the parties can end conflict without the expense and time associated with the full administrative process. Who Participates in During mediation, a mediator will attempt to help the Mediation? parties find an optimal solution to the conflict. Both parties must agree to participate in mediation, and both parties must bring a representative to mediation that has full authority to settle the entire matter. Mediation Is Not Neither the Registrar nor the Office of Administrative Mandatory Hearings will penalize a party for not agreeing to mediation. Where do the Parties The parties will meet at the Office of Administrative Meet for Mediation? Hearings to participate in mediation.

The Office of Administrative Hearings is located at 1400 West Washington, Suite 101, Phoenix, Arizona 85007. When does Mediation can occur after the Registrar issues a citation, but Mediation Occur? before the administrative hearing. Why Should Parties Mediation can be an alternative to the full administrative Consider Mediation? process. Mediation is beneficial because it is (1) time- efficient, (2) cost-effective, (3) confidential, and (4) capable of providing flexible solutions to complex problems. How to Request If the parties wish to mediate this case, they must file a Joint Mediation Request for Mediation with the Office of Administrative Hearings. A Joint Request for Mediation is included with this Mediation Notice. REGISTRAR OF CONTRACTORS OF THE STATE OF ARIZONA _________________________ Case No. _______________ COMPLAINANT,

v. JOINT REQUEST FOR MEDIATION _________________________ RESPONDENT.

REQUEST

The parties jointly request that this matter be referred to mediation in the Office of Administrative Hearings (OAH). ☐ This matter is set for hearing on __________________(date). ☐ This matter is not currently set for hearing. MEDIATION AGREEMENT By requesting this mediation and signing below, the parties understand, represent, and agree: 1. The parties are prepared to commence mediation and will be ready for mediation on _____________________(date); 2. The parties will participate in the mediation process in good faith; 3. This request for mediation is not intended to hinder or delay administrative proceedings; 4. No party will contend that the mediation limits the power of OAH and its administrative law judges to conduct an administrative hearing and issue decisions under A.R.S. §§ 41-1092 – 1092.12; 5. The parties will be courteous and respectful throughout the mediation process to all participants; 6. The mediation is completely voluntary and the principal purpose is to allow the parties a full and fair opportunity to discuss settlement; of 3 REGISTRAR OF CONTRACTORS 1700 W. Washington St. Suite 105 – PHOENIX, AZ 85007-2812 Telephone (602)542-1525 1-877-692-9762 7. The mediator may conduct joint and separate meetings with the parties and may suggest resolutions to the parties’ dispute, but the mediator has no authority to impose a settlement upon the parties; 8. The mediation process is confidential. Communications made, material created for or used during, and acts occurring during mediation are confidential and may not be discovered or admitted into evidence in any proceeding except as provided by A.R.S. § 12-2238; 9. The mediator is not subject to service of process or a subpoena to produce evidence or to testify regarding any evidence or occurrence relating to the mediation except as provided in A.R.S. § 12-2238(C); 10. Neither the mediator, nor the Registrar of Contractors, nor the Office of Administrative Hearings is subject to civil liability for any act or omission in connection with any mediation service or activity except for acts involving

intentional misconduct or reckless disregard of a substantial risk of injury to the rights of others; 11. Throughout the mediation process, each party must have a representative present who will have full settlement authority to settle all claims at issue in the administrative

proceeding. 12. The mediation process will terminate when: a. The parties reach settlement; b. The mediator determines that further efforts at mediation are no longer likely

to achieve a settlement; or c. One of the parties withdraws from mediation. _____________________________________ _______________________ Complainant (or representative) Date

_____________________________________ _______________________ Respondent (or representative) Date

of 3 REGISTRAR OF CONTRACTORS 1700 W. Washington St. Suite 105 – PHOENIX, AZ 85007-2812 Telephone (602)542-1525 1-877-692-9762 PREHEARING DISCLOSURE STATEMENT INSTRUCTIONS ***DO NOT SUBMIT THESE INSTRUCTIONS WITH THE PREHEARING DISCLOSURE FORM***

ADMINISTRATIVE RULES A copy of the Arizona Administrative Code’s Rules for the Registrar of Contractors can be located on the Registrar’s Website.

PREHEARING DISCLOSURE REQUIREMENT Under A.A.C. R4-9-118(A), before a hearing, the parties must prepare a disclosure statement. The disclosure statement must contain: • A list of all the witnesses the party will call to testify, including the witnesses’ contact information and a brief description of the subject matter of the witnesses’ expected testimony; and • A list of all the exhibits that the party will use at the hearing.

FILE PREHEARING DISCLOSURE STATEMENTS • The Prehearing Disclosure Statements and Exhibits may be submitted to the Arizona Office of Administrative Hearings using any of the following: • Electronically: https://portal.azoah.com/submission/ • In-Person or by Mail: 1740 West Adams Street, Lower Level, Phoenix, Arizona 85007

EXCHANGING DISCLOSURE STATEMENTS AND EXHIBITS Under A.A.C. R4-9-118(B) (effective November 5, 2017), a party to the hearing must serve on every other party and file with the Office of Administrative Hearings a copy of: • The disclosure statement; and, • Any exhibit that the party will use at the hearing. Service: The disclosure statement and exhibits must be served on all parties in accordance with Arizona Administrative Code R2-19-108 Filing Documents. Under A.A.C. R2-19-108, service is completed by: • Personal delivery; • 1st class, certified or express mail; or • Facsimile. Timing: The disclosure statement and the exhibits must be served and filed not less than seven calendar days before the date of the hearing. Under A.A.C. R2-19-108, a document is served on a party: • On the date it is personally served; • Five days after it is mailed by express or 1st class mail; • On the date of the return receipt if it is mailed by certified mail; or • On the date indicated on the facsimile transmission.

CONSEQUENCES FOR FAILING TO DISCLOSE Under A.A.C. R4-9-108(C), if a witness or an exhibit is not timely disclosed as required the rules, and good cause for the failure to disclose is not shown, then the administrative law judge may: • Order that certain witnesses or exhibits not be used at the hearing; • Order that a particular fact is or is not established for the record; or, • Order that a charge, a defense, a claim, or some portion thereof, be dismissed.

Form RC-L-800A Prehearing Disclosure Statement Rev. 10/08/2019 Instructions Form PREHEARING DISCLOSURE STATEMENT FORM RC-L-800A

PART 1: WITNESS LIST DOCKET NO. Under A.A.C. R4-9-118(A), before a hearing, a party must prepare a disclosure statement containing a list of all the witnesses the party will call to testify, including the witnesses’ contact information and a brief description of the subject matter of the witnesses’ expected testimony. If you need additional space to list all witnesses, complete and attach additional Witness Lists. Example 1. Name 2. Telephone Number 3. Email Address

John Doe (123) 456-7890 [email redacted] 4. Subject Matter of Expected Testimony

John Doe will testify regarding the poor workmanship and poor installation of the Garage Door. Mr. Doe will also testify regarding the invoices and change orders for the project.

Witness 1. Name 2. Telephone Number 3. Email Address

4. Subject Matter of Expected Testimony

Witness 1. Name 2. Telephone Number 3. Email Address

4. Subject Matter of Expected Testimony

Witness 1. Name 2. Telephone Number 3. Email Address

4. Subject Matter of Expected Testimony

Witness 1. Name 2. Telephone Number 3. Email Address

4. Subject Matter of Expected Testimony

Form RC-L-800A Prehearing Disclosure Statement Rev. 1/15/2019 Page 1 of 3 PART 2: EXHIBIT LIST DOCKET NO. Under A.A.C. R4-9-118(A), before a hearing, a party must prepare a disclosure statement containing a list of all the exhibits that the party will use at the hearing. Note: All exhibits listed below must be provided to all parties to the hearing. See A.A.C. R4-9-118(B). If you need additional space to list all witnesses, complete and attach additional Exhibit Lists. Example Contract for new garage door. Invoice #10001 – Cost for garage door replacement.

Exhibit Exhibit Name

Form RC-L-800A Prehearing Disclosure Statement Rev. 1/15/2019 Page 2 of 3 PART 3: ACKNOWLEDGEMENT & SIGNATURE I certify that the above information is true and correct and that I will serve a copy of this disclosure statement and any exhibits listed in Part 2 to all parties to the hearing in accordance with A.A.C. R4-9-118. I acknowledge and understand that if I fail to properly disclose a witness or exhibit, the administrative law judge may: • Order that certain witnesses or exhibits not be used at the hearing; • Order that a particular fact is or is not established for the record; or, • Order that a charge, a defense, a claim, or some portion thereof, be dismissed.

I am the (check one):  Complainant  Respondent Docket No.

Print Name Signature Date

Form RC-L-800A Prehearing Disclosure Statement Rev. 1/15/2019 Page 3 of 3