THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO IFB
Bidder Address for receipt of official communications:
DUNS no. Paving Covpamrhion Rober + Bushnell Menleut
LA _Consthuben wr!
Abas ch yon HH oes)
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
NA
y
NV
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 if no subcontractors are
required to be listed. In that case, the Bidder should state "None" (or similar language stating that no subcontractors
need to be iisted} in the space below.
Name & Address of Subcontractor Bottion/of Work
SURConsteivg on ;
lO} Lancaster st Leommsier MmAnysy Cas Hing Wov ki.
1BS New Besten Ch ;
Woce\\a Wodbuvn MA 010} Reclaiming
Cer thy rik Csphete We Cla Za p
Da Peters wd Bloomfield” CTopece fi) lef lanieg
IFBO660-020922 2022 PAVING PROGRAM Pageidof 5
