THIS FORM MUST BE SUBMITTED WITH ALL RESPONSES TO IFB
Bidder Address for receipt of official communications.
§.U.R. Construction West, inc., 51 Payne Road, Winchester, NH 03470
Each joint ventured must sign The manner of signing for each individua’, partnership and corporation thal & a party to
the joint venture should be in the manner indicated above
Nf
SUBCONTRACTORS
(To be submitted with BID)
The name and address of each subcontractor wha will be paid at least five percent (5%) of the prime contractor s total
BID Pall be listed below To be deemed a responsive BID this form must be submitted even ff no subcontra lors are
requred to be sted tn that case, the Bidder should state “None” (or simular language stating that no subcontractors
need to be listed} im the space below
ie i» 2 ~\Name & Address of Subcontractor ponent Wot
fie ey a By i Ean 7
TOD Wear Course Paving
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