2024A-06025-NPC-ROC Notice of Hearing & Packet MAILED 2024-06025.pdf

2024A-06025-NPC-ROC · Registrar of Contractors · 2024-07-30

REGISTRAR OF CONTRACTORS OF THE STATE OF ARIZONA

CMTZ Construction LLC, Case No. 2024-06025

COMPLAINANT, Docket No. 2024A-06025-NPC-ROC

v. NOTICE OF HEARING ON CONTESTED CASE Legacy Construction and Consulting LLC License No. ROC 296890,

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

HEARING INFORMATION The hearing is set for:

September 6, 2024 9:00 AM Sondra Vanella 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 June 24, 2024. 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)(10)

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.

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/forms/RC-L-800A%20- %20Prehearing%20Disclosure%20Statement%2020191007v4.pdf

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 July 26, 2024.

By: /s/ Erika Hoskin Erika Hoskin Legal Secretary Legal Department Arizona Registrar of Contractors

Copy mailed via USPS First Class mail July 26, 2024 to:

Respondent(s) Legacy Construction and Consulting LLC 16401 S 29th Dr. Phoenix, AZ 85045

Complainant(s) CMTZ Construction LLC 3319 W Encanto Blvd Phoenix, AZ 85009

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. 2024-06025 /

Douglas A. Ducey, Governor Jeffrey L. Fleetham, 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

Douglas A. Ducey, Governor Jeffrey L. Fleetham, 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

Douglas A. Ducey, Governor Jeffrey L. Fleetham, 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

May 30, 2024

Via U.S. Mail and Email

Complainant CMTZ Construction LLC 3319 W Encanto Blvd Phoenix, AZ 85009

Via U.S. Mail and Email

Respondent Legacy Construction and Consulting LLC 16401 S 29th Dr Phoenix, AZ 85045

Re: Complaint No. 2024-06025

Dear Complainant and Respondent:

The Registrar received a complaint filed against Legacy Construction and Consulting LLC for non-payment of materials or services rendered. This complaint is complete and will be substantively reviewed by the Registrar.

Respondent is free to raise any issue or affirmative defense to this complaint by filing a response with the Registrar by June 6, 2024. Please reference the complaint number listed above if you file a response. Respondent may file a response by:

Mail: P.O. Box 18244, Phoenix, Arizona, 85005-8244 In-Person: 1700 W. Washington St., Ste. 105, Phoenix, Arizona, 85007-2812 Email: [email redacted]

The Registrar will not issue a citation before June 6, 2024 and will review Respondent’s response, if one is submitted.

Please be advised that a response to the complaint is not the same as a written answer. If the Registrar issues a citation Respondent must file a written answer to that citation in accordance with A.R.S. § 32-1155.

Sincerely,

/s/ Shaquira Adebule Shaquira Adebule Legal Assistant II

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812 602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg100 4/21 Legal Department Arizona Registrar of Contractors 602-542-1525

1700 W. Washington Street, Suite 105 · Phoenix AZ 85007-2812 602.542.1525 · Toll Free 877.692.9762 · roc.az.gov Lg100 4/21 Non-Payment Complaint Form Departmental Use Only Complaint Number: Mail to: Registrar of Contractors P.O. Box 18243 Phoenix, AZ 85005-8243

Person Filing Complaint (Payee) Business Name Full Name (First Middle Last) ROC License Number(s) (if any) Carlos Manuel Martinez Street Address City State Zip Code 3319 W. Encanto Blvd Phoenix Arizona 85009 Phone Number Email Address [number redacted] [email redacted] I consent to receive communications electronically in connection with this case

Name of Attorney (if any)

Attorney’s Street Address City State Zip Code

Attorney’s Phone Number Attorney’s Email Address

Licensee Information (Payer) Name (as shown on contracts, invoices, etc.) ROC License Number(s) Legacy Construction and Consulting LLC ROC 296890 Street Address City State Zip Code 16401 S 29th Dr Phoenix AZ 85045 Phone Number Email Address

Name of Person(s) Representing License William Keshishi Complaint Information Principal Amount Due (excluding interest and fees) Contract Date (if applicable) $73,462.50 September 20, 2022 Have you filed a civil complaint? No List all specific invoices which have not been paid. Attach additional pages if necessary. Invoice #1214 - $38,304.00; Invoice #1215 - $17128.50; Invoice #1221 - $18,030.00

Certification I certify, upon information and belief, that the above-named licensee has failed to pay monies in excess of seven hundred fifty dollars when due for materials or services rendered in connection with the licensee’s operations as a contractor. I further certify, upon information and belief, that the above-named licensee has the capacity to pay, or has received sufficient monies as payment for the particular construction work project or operation for which the services or materials were rendered or purchased. A.R.S. § 32-1154(A)(10). Printed Name Signature Date Carlos Manuel Martinez Declaration & Signature I am the Complainant in this Complaint Form or Complainant’s duly authorized representative. I declare under penalty of perjury that the information contained in this Form is true and correct to the best of my knowledge. I further certify that any documents submitted in support of this complaint are true and correct copies of the originals and are 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 Carlos Manuel Martinez ÿÿÿ¡¢£¤¢¥¦£¥¤¦ 0123ÿ5ÿ67ÿ8ÿÿÿ ÿ ÿ

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Invoice: 1214 Date: 1/6/2023

Customer: Legacy Construction & Consulting 2915 N. 29th Drive, Bay 12 & 13 Phoenix, AZ 85017

Job Name: Chaparral

Lot # Sq Ft Price Per Sq Ft Total 17012 1566 4.75 $ 7,438.50 17013 1326 4.75 $ 6,298.50 17014 1202 4.75 $ 5,709.50 18001 1202 4.75 $ 5,709.50 18003 1202 4.75 $ 5,709.50 18002 1566 4.75 $ 7,438.50

Total Amount: $ 38,304.00 CMTZ Construction, LLC 3319 W. Encanto Blvd. Phoenix, AZ 85009 (602) 546-8870 [email redacted]

Invoice: 1215 Date: 1/18/2023

Customer: Legacy Construction & Consulting 2915 N. 29th Drive, Bay 12 & 13 Phoenix, AZ 85017

Job Name: Chaparral

Lot # Sq Ft Price Per Sq Ft Total 18004 1202 4.75 $ 5,709.50 18005 1202 4.75 $ 5,709.50 18006 1202 4.75 $ 5,709.50

Total Amount: $ 17,128.50 CMTZ Construction, LLC 3319 W. Encanto Blvd. Phoenix, AZ 85009 (602) 546-8870 [email redacted]

Invoice: 1221 Date: 2/13/2023

Customer: Legacy Construction & Consulting 2915 N. 29th Drive, Bay 12 & 13 Phoenix, AZ 85017

Job Name: Chaparral

Lot # Sq Ft Price Per Sq Ft Total 18007 1202 5.00 $ 6,010.00 18008 1202 5.00 $ 6,010.00 18009 1202 5.00 $ 6,010.00

Total Amount: $ 18,030.00 6/14/24, 1:29 PM State of Arizona Mail - Complaint # 2024-06025 response LEGAL RECEIVED 06/13/2024

Legal New Mail - AZROC <[email redacted]>

Complaint # 2024-06025 response message

[email redacted] [email redacted] <[email redacted]> Thu, Jun 13, 2024 at 8:47 PM To: "[email redacted]" <[email redacted]>

To whom it may concern. Hello, This is regarding complaint number 2024-06025 filed against my company "Legacy Construction and Consulting LLC"

Few minutes before sending this email I spoke with a lady at the legal department, and per her direction I am sending this email.

Before addressing the complaint, the lady I spoke with, also encouraged me to explain the following. The email for the complaint was sent to me on May 30th but I didn't check my email over the weekend and just saw it on Monday the 3rd and considering that I wanted to seek an attorney advice, I really didn't have a chance to send my response by the 6th of June.

Also the actual mailed letter was posted on the 30th and my wife didn't see it until also Monday the 3rd.

So I apologize that this response is passed the due date.

As far as the actual complaint and my response:

While I know Mr. Carlos Martinez, I have never granted him the contract that is attached with the complaint. As a matter of fact, the very first time I have ever seen this contract was when the ROC sent me the complaint and attached contract in the email.

Please note I have attached a copy of Arizona Corporation Commission documentation on my company. My company is a single member LLC and Mr. Caleb Riley who has entered into contract with Mr. Martinez, does not and never has had any affiliation with Legacy Construction and Consulting LLC. In addition, I have never given any authorization to a "Mr. Caleb Riley" to enter into any contract with Mr. Martinez or anyone else.

As I mentioned above, I have never seen, signed, or approved the contract that is attached in the complaint.

Furthermore, I have not seen any evidence of any of the work that Mr. Martinez is invoicing for. As a matter of fact, while I do not accept the contract that is attached in the complaint, I couldn't help to notice that the 3 invoices also seem just "Made Up" because they don't even match with the pricing sheet at the end of the contract initialed by Mr. Martinez.

Again, this contract is not signed, approved or ever been at my possession, and I am just pointing out that the invoices seem made up and don't match the contract.

Considering that the contract is not valid, because it is not my contract, I ask kindly that the ROC legal department close this complaint.

If Mr. Martinez has any further complains, he may contact me, and I will put him in contact with my counsel.

Thank you very much.

Sincerely, William Keshishi

(480) 410-0037

https://mail.google.com/mail/b/AEoRXRRCv4HHX8WmY-YLvmRsKrWKHYT8SCM9CyMAtkBMZm8AqzeW/u/0/?ik=d3afebeda9&view=pt&search=all&… 1/2 6/14/24, 1:29 PM State of Arizona Mail - Complaint # 2024-06025 response LEGAL RECEIVED 06/13/2024

Arizona Corporations Commission.pdf 532K

https://mail.google.com/mail/b/AEoRXRRCv4HHX8WmY-YLvmRsKrWKHYT8SCM9CyMAtkBMZm8AqzeW/u/0/?ik=d3afebeda9&view=pt&search=all&… 2/2 LEGAL RECEIVED 06/13/2024 LEGAL RECEIVED 06/13/2024 LEGAL RECEIVED 06/13/2024 REGISTRAR OF CONTRACTORS OF THE STATE OF ARIZONA

Case No. 2024-06025 CMTZ Construction LLC,

COMPLAINANT, CITATION v. Legacy Construction and Consulting LLC License No. ROC 296890, RESPONDENT.

The Registrar issues this Citation to Legacy Construction and Consulting LLC (“Respondent”) under A.R.S. § 32-1155(A). If Respondent fails to answer this Citation by July 9, 2024, 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 May 27, 2024, CMTZ Construction LLC (“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:

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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 Charge :1 A.R.S. § 32-1154(A)(10) — Failure by a licensee or agent or official of a licensee to pay monies in excess of $750 when due for materials or services rendered in connection with the licensee's operations as a contractor unless the licensee proves that the licensee lacks the capacity to pay and has not received sufficient monies as payment for the particular construction work project or operation for which the services or materials were rendered or purchased.

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. 2024-06025.

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] 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

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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 Registrar actually receives it. Deadline for Filing a Written Answer: Respondent must file a written answer with the Registrar no later than July 9, 2024. 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). 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 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

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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 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. Dated June 24, 2024. By: /s/ Margaret Lindsey Margaret Lindsey Assistant General Counsel Legal Department Arizona Registrar of Contractors

COPY of the foregoing mailed by Certified Mail, Return Receipt Requested, June 24, 2024 to:

Respondent Certified Mail No: [number 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 Legacy Construction and Consulting LLC 16401 S 29th Dr Phoenix, AZ 85045

Copy mailed by USPS First Class mail this same date to: Respondent Legacy Construction and Consulting LLC 16401 S 29th Dr Phoenix, AZ 85045 Complainant CMTZ Construction LLC 3319 W Encanto Blvd Phoenix, AZ 85009 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. 2024-06025

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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 Non-Payment Complaint Form Departmental Use Only Complaint Number: Mail to: Registrar of Contractors P.O. Box 18243 Phoenix, AZ 85005-8243

Name of Attorney (if any)

Attorney’s Street Address City State Zip Code

Attorney’s Phone Number Attorney’s Email Address

ÿ ÿ ÿ ÿÿ ÿ

Invoice: 1214 Date: 1/6/2023

Customer: Legacy Construction & Consulting 2915 N. 29th Drive, Bay 12 & 13 Phoenix, AZ 85017

Job Name: Chaparral

Lot # Sq Ft Price Per Sq Ft Total 17012 1566 4.75 $ 7,438.50 17013 1326 4.75 $ 6,298.50 17014 1202 4.75 $ 5,709.50 18001 1202 4.75 $ 5,709.50 18003 1202 4.75 $ 5,709.50 18002 1566 4.75 $ 7,438.50

Total Amount: $ 38,304.00 CMTZ Construction, LLC 3319 W. Encanto Blvd. Phoenix, AZ 85009 (602) 546-8870 [email redacted]

Invoice: 1215 Date: 1/18/2023

Customer: Legacy Construction & Consulting 2915 N. 29th Drive, Bay 12 & 13 Phoenix, AZ 85017

Job Name: Chaparral

Lot # Sq Ft Price Per Sq Ft Total 18004 1202 4.75 $ 5,709.50 18005 1202 4.75 $ 5,709.50 18006 1202 4.75 $ 5,709.50

Total Amount: $ 17,128.50 CMTZ Construction, LLC 3319 W. Encanto Blvd. Phoenix, AZ 85009 (602) 546-8870 [email redacted]

Invoice: 1221 Date: 2/13/2023

Customer: Legacy Construction & Consulting 2915 N. 29th Drive, Bay 12 & 13 Phoenix, AZ 85017

Job Name: Chaparral

Lot # Sq Ft Price Per Sq Ft Total 18007 1202 5.00 $ 6,010.00 18008 1202 5.00 $ 6,010.00 18009 1202 5.00 $ 6,010.00

Total Amount: $ 18,030.00 Received 7/09/2024 ROC Legal

Written Answer to Citation and Complaint Case No. 2024-06025

Hello.

To whom it may concern:

My name is William Keshishi, and I own Legacy construction and consulting LLC Lic# 296890 hereinafter called LEGACY LLC, and a second company called Express truss and framing systems LLC “A roof truss manufacturing company” hereinafter called EXPRESS LLC

Following is my response to citation in Case No. 2024-06025

STATEMENT OF FACTS 1) The Project that the complainant “CMTZ” claims has worked at, belongs to a development company called CENTURY COMPLETE HOMES LLC. Hereinafter is called CENTURY LLC. 2) Express LLC, which is a wall and truss manufacturing company had a direct contract with Century LLC to manufacture and deliver wall panels and trusses for multiple of jobsites and house models and erect the walls and trusses at di erent jobsites. 3) Legacy LLC was hired by Express LLC to perform ﬁeld installation of said wall panels and trusses for Century LLC at di erent job addresses. 4) Express LLC. was a partnership between I, William Keshishi and a Caleb Riley 5) Legacy LLC is a company solely owned by me, William Keshishi, and has no other partners or operators. 6) CENTURY LLC was supposed to Pay Express LLC, then Express LLC was Supposed to pay Legacy LLC for ﬁeld work and ﬁnally LEGACY LLC would have to pay any sub-contractors it had hired.

ARGUMENTS Argument #1: Validity of contract between CMTZ and Legacy LLC.

1) As mentioned in my email response to the original complaint on 6/13/24 to the legal department at ROC, CALEB RILEY is not and has never been a partner, agent, employee or in any other means a member of LEGACY LLC. 2) Mr. Riley has never had authority to draft, and execute or sign any contract with CMTZ on behalf of LEGACY LLC. 3) The contract clearly shows that it was fraudulently drafted and signed by Caleb Riley. 4) I, William Keshishi, never had any knowledge of any agreement / contract between Mr. Riley and CMTZ drafted under my company name “LEGACY LLC” and never granted this contract to CMTZ. 5) The very ﬁrst time I saw this contract is when I received it as an attachment to the complaint from AZROC. Received 7/09/2024 ROC Legal

So, since this contract was drafted and executed by an unauthorized person without my permission or knowledge, it should be considered invalid and void.

Argument #2: Contesting Charge #1

Express LLC never got paid from project owner “Century LLC” for materials and labors provided, therefore it could not pay its own employees and its sub-contractor “Legacy LLC” which subsequently could not fulﬁll its obligations to any of its possible sub- contractors.

Therefore, even if CMTZ has in fact performed the work that it claims, “Which there is no evidence provided to me and it is subject of my other arguments”,

Following A.R.S 32-1154(a)(10), LEGACY LLC can present evidence in a future administrative hearing and prove that it has not received su icient monies as payment and wouldn’t have the capacity to pay such invoices to CMTZ even if they were valid.

Argument #3: Lack of due diligence on behalf of CMTZ.

Considering the owner of CMTZ is a licensed contractor, one would expect that CMTZ would have done a minimum amount of due diligence and easily ﬁnd out that they are signing a contract with a person “Caleb Riley” who has no authority to draft and execute a contract with CMTZ.

1) A simple search in AZROC will show that only I, William Keshishi, am a member of LEGACY LLC. 2) A search in Arizona corporate commission will also show that Mr. Riley in no capacity is involved with LEGACY LLC. 3) The address at the bottom of the contract is not Legacy LLC address. 4) The phone number at the bottom of the contract is not Legacy LLC phone number.

Any of the points above should have raised a red ﬂag for CMTZ not to contract with Caleb Riley and should have contacted me directly.

Argument #4: Questionable invoicing and breach of terms of contract.

While I absolutely reject the validity of the contract presented by CMTZ, I would like to point out:

1) The invoices presented as an attachment to the complaint and the citation are very questionable: a. It is very simple to create such unprofessional invoices and claim these jobs have been performed. Received 7/09/2024 ROC Legal

b. Ther is no proof or paperwork provided to me to show that CMTZ has ever been asked or has performed work at all of these LOT#s that are invoiced. c. The price per square foot of the invoices provided by CMTZ does not even match the “Agreed” and signed pricing sheet that is at the end of the contract.

2) Breach of terms of contract.

Again: While I absolutely reject the validity of the contract presented by CMTZ, I would like to point out that CMTZ is in breach of multiple terms of this contract.

Below is a list of some items that CMTZ has not followed.

 Line #6 requires invoices to be presented by CMTZ on timely manner to be paid, which I have never been presented any invoices.

 Line #24 and #25, along with the pricing sheet at the end of the contract make it very clear that the price per square feet for all the house models is $4.00 / SF. And any changes in this price must be in writing. CMTZ has not provided such paperwork proving approval of the price increase, however in the invoices that they are providing, they are trying to charge more per square foot than agreed in the contract. One can see clearly that they are trying to charge $4.75 or even $5.00 per square foot.

 Paragraph Thirteenth and Seventeen: These paragraphs clearly demand proper paperwork such as o Certiﬁcate of liability insurances with LEGACY LLC named as additional insured o Proof of workers-comp insurance o Lien wavers and releases.

None of which has ever been presented to me.

Summary:

1) The contract should not be deemed valid. And it was fraudulently drafted and executed by an unauthorized person. Received 7/09/2024 ROC Legal

2) Following A.R.S 32-1154(a)(10), LEGACY LLC can present evidence in a future administrative hearing and prove that it would not have the capacity to pay such invoices to CMTZ even if they were valid. 3) CMTZ is has not operated in a manner consistent with the signed contract “even if it was valid” a. CMTZ has not provided any documents that shows they have been asked to perform work at any of the LOT#s that they claim b. Providing any evidence that they have in fact performed work at these LOT#s that are being invoiced c. CMTZ has never provided any of the paperwork that is listed in the contract such as the proper insurances and timely invoices. d. The invoices provided attached to the complaint lack any professional aspect and any supporting documentation.

Therefore I, William Keshishi, respectfully ask the legal department of AZROC, based on the arguments above not to suspend or revoke my license, in addition I will respectfully attend any scheduled hearing to present my case further.

Sincerely.

William Keshishi

480-410-0037 Received 7/10/24, 8:30 AM State of Arizona Mail - Written Answer to Citation and Complaint Case No. 2024-060257/09/2024 ROC Legal

Answers - AZROC <[email redacted]>

Written Answer to Citation and Complaint Case No. 2024-06025 message

[email redacted] [email redacted] <[email redacted]> Tue, Jul 9, 2024 at 10:44 PM To: "[email redacted]" <[email redacted]>, "[email redacted]" <[email redacted]>, william <[email redacted]>

Hello.

Attached please find my Written Answer to Citation and Complaint in case number 2024-0625

Thank you very much.

Sincerely, William Keshishi Legacy Construction and Consulting LLC. (480) 410-0037

P.S. Below I am also just copy and pasting my answer just in case any of the attachments does not open properly. otherwise, you can ignore the lines below and just rely on the attachments.

Written Answer to Citation and Complaint

Case No. 2024-06025

Hello.

To whom it may concern:

Following is my response to citation in Case No. 2024-06025

STATEMENT OF FACTS

1) The Project that the complainant “CMTZ” claims has worked at, belongs to a development company called CENTURY COMPLETE HOMES LLC. Hereinafter is called CENTURY LLC.

2) Express LLC, which is a wall and truss manufacturing company had a direct contract with Century LLC to manufacture and deliver wall panels and trusses for multiple of jobsites and house models and erect the walls and trusses at different jobsites.

3) Legacy LLC was hired by Express LLC to perform field installation of said wall panels and trusses for Century LLC at different job addresses.

4) Express LLC. was a partnership between I, William Keshishi and a Caleb Riley

5) Legacy LLC is a company solely owned by me, William Keshishi, and has no other partners or operators.

6) CENTURY LLC was supposed to Pay Express LLC, then Express LLC was Supposed to pay Legacy LLC for field work and finally LEGACY LLC would have to pay any sub-contractors it had hired.

ARGUMENTS https://mail.google.com/mail/b/AEoRXRRNbKIPIps-5PMYUkjGk6OWVch8cfa08cy-H_UFYIlNT9bG/u/0/?ik=581c53cf5c&view=pt&search=all&permthid… 1/4 Received 7/10/24, 8:30 AM State of Arizona Mail - Written Answer to Citation and Complaint Case No. 2024-060257/09/2024 ROC Legal Argument #1: Validity of contract between CMTZ and Legacy LLC.

2) Mr. Riley has never had authority to draft, and execute or sign any contract with CMTZ on behalf of LEGACY LLC.

3) The contract clearly shows that it was fraudulently drafted and signed by Caleb Riley.

4) I, William Keshishi, never had any knowledge of any agreement / contract between Mr. Riley and CMTZ drafted under my company name “LEGACY LLC” and never granted this contract to CMTZ.

5) The very first time I saw this contract is when I received it as an attachment to the complaint from AZROC.

So, since this contract was drafted and executed by an unauthorized person without my permission or knowledge, it should be considered invalid and void.

Argument #2: Contesting Charge #1

Express LLC never got paid from project owner “Century LLC” for materials and labors provided, therefore it could not pay its own employees and its sub-contractor “Legacy LLC” which subsequently could not fulfill its obligations to any of its possible sub-contractors.

Therefore, even if CMTZ has in fact performed the work that it claims, “Which there is no evidence provided to me and it is subject of my other arguments”,

Following A.R.S 32-1154(a)(10), LEGACY LLC can present evidence in a future administrative hearing and prove that it has not received sufficient monies as payment and wouldn’t have the capacity to pay such invoices to CMTZ even if they were valid.

Argument #3: Lack of due diligence on behalf of CMTZ.

Considering the owner of CMTZ is a licensed contractor, one would expect that CMTZ would have done a minimum amount of due diligence and easily find out that they are signing a contract with a person “Caleb Riley” who has no authority to draft and execute a contract with CMTZ.

1) A simple search in AZROC will show that only I, William Keshishi, am a member of LEGACY LLC.

2) A search in Arizona corporate commission will also show that Mr. Riley in no capacity is involved with LEGACY LLC.

3) The address at the bottom of the contract is not Legacy LLC address.

4) The phone number at the bottom of the contract is not Legacy LLC phone number.

Any of the points above should have raised a red flag for CMTZ not to contract with Caleb Riley and should have contacted me directly.

Argument #4: Questionable invoicing and breach of terms of contract.

While I absolutely reject the validity of the contract presented by CMTZ, I would like to point out:

1) The invoices presented as an attachment to the complaint and the citation are very questionable:

a. It is very simple to create such unprofessional invoices and claim these jobs have been performed.

b. Ther is no proof or paperwork provided to me to show that CMTZ has ever been asked or has performed work at all of these LOT#s that are invoiced. https://mail.google.com/mail/b/AEoRXRRNbKIPIps-5PMYUkjGk6OWVch8cfa08cy-H_UFYIlNT9bG/u/0/?ik=581c53cf5c&view=pt&search=all&permthid… 2/4 Received 7/10/24, 8:30 AM State of Arizona Mail - Written Answer to Citation and Complaint Case No. 2024-060257/09/2024 ROC Legal c. The price per square foot of the invoices provided by CMTZ does not even match the “Agreed” and signed pricing sheet that is at the end of the contract.

2) Breach of terms of contract.

Again: While I absolutely reject the validity of the contract presented by CMTZ, I would like to point out that CMTZ is in breach of multiple terms of this contract.

Below is a list of some items that CMTZ has not followed.

· Line #6 requires invoices to be presented by CMTZ on timely manner to be paid, which I have never been presented any invoices.

· Line #24 and #25, along with the pricing sheet at the end of the contract make it very clear that the price per square feet for all the house models is $4.00 / SF.

And any changes in this price must be in writing.

CMTZ has not provided such paperwork proving approval of the price increase, however in the invoices that they are providing, they are trying to charge more per square foot than agreed in the contract.

One can see clearly that they are trying to charge $4.75 or even $5.00 per square foot.

· Paragraph Thirteenth and Seventeen: These paragraphs clearly demand proper paperwork such as

o Certificate of liability insurances with LEGACY LLC named as additional insured

o Proof of workers-comp insurance

o Lien wavers and releases.

None of which has ever been presented to me.

Summary:

1) The contract should not be deemed valid. And it was fraudulently drafted and executed by an unauthorized person.

3) CMTZ is has not operated in a manner consistent with the signed contract “even if it was valid”

a. CMTZ has not provided any documents that shows they have been asked to perform work at any of the LOT#s that they claim

b. Providing any evidence that they have in fact performed work at these LOT#s that are being invoiced

c. CMTZ has never provided any of the paperwork that is listed in the contract such as the proper insurances and timely invoices.

d. The invoices provided attached to the complaint lack any professional aspect and any supporting documentation.

https://mail.google.com/mail/b/AEoRXRRNbKIPIps-5PMYUkjGk6OWVch8cfa08cy-H_UFYIlNT9bG/u/0/?ik=581c53cf5c&view=pt&search=all&permthid… 3/4 Received 7/10/24, 8:30 AM State of Arizona Mail - Written Answer to Citation and Complaint Case No. 2024-060257/09/2024 Therefore I, William Keshishi, respectfully ask the legal department of AZROC, based on the arguments above ROC Legal not to suspend or revoke my license, in addition I will respectfully attend any scheduled hearing to present my case further.

Sincerely.

William Keshishi

480-410-0037

attachments Written Answer to Citation No 2024-06025.pdf 209K Responce to citation.docx 21K

https://mail.google.com/mail/b/AEoRXRRNbKIPIps-5PMYUkjGk6OWVch8cfa08cy-H_UFYIlNT9bG/u/0/?ik=581c53cf5c&view=pt&search=all&permthid… 4/4 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