THIS FORM MUST BE SUBMITTED WITHALL RESPONSES TO IFB
Bidder Address for receipt of official communications:
SUAS. Yavin Cornea tina, Rober + Bushnel| Presley
ZA _Consthuh en wr
La denn A ine O2cs|
Each joint ventured must sign. The manner of signing for each individual, partnership and corporation that is a party to
the joint venture should be in the manner indicated above.
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N
SUBCONTRACTORS
(To be submitted with BID)
The name and address of each subcontractor who will be paid at least five percent (5%) of the prime contractor s_ total
BID shall be listed below. To be deemed a responsive BID this form must be submitted even ifno subcontractors are
required to be listed. In that case, the Bidder should state "None" (or similar language stating that no subcontractors
need to be listed) in the space below.
Name & Address of Subcontractor POOR OF WON <
SUR Constewehon an : it
10} Lancaster s+ Léomm ster MA sal Cas Hing Wov
1]S New Besien CF. , ;
Noce \ \a W dbuvin MA OIGOl Rec LOVIN: OA
Garry Gspheatt Bechavwnine
.
Ax Peters 2d Bicomfeld” CT Obove Co [el p/ laning
IFBO660-020922 2022 PAVING PROGRAM Pagel4of5
