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- - - .. - " ° ~ ~ FIRST-TIER SUBCONTRACTOR"DISCLOSURE STATEMENT ~ _ - 1 <br />Project Title: : Pine Canyon Drive Stormwater Improvement between Pine <br />:. " . - ~ Canyon Drive and E. 38~'"Avenue <br />City of Eugene Project No. 4535. .. ~ '. <br />. Bid Closing: Date: August 19, 2008 Time: 2:00 p.m. <br />_ :Submit to: , 244 E. Broadway";Eugene; Oregon 97401 " <br />" Disclosure Deadline: ~ 2:00 p.m. -This form must be submitted by bid~closing date <br />and time. ~ " <br />Bidders are requiredao submit a first tier subcontractor disclosure form, substantially as described in <br />`ORS 279C.370; prior .to. the Bid Closing Date and time. For "this project the- First-Tier <br />Subcontractor Disclosure Statement must be submitted regardless of the bid amount: : <br />" .BIDDER INFORMATION ~ - <br />OBA: D~tTR CONST. CO. <br />.. Bidder's Name: . BABE CONSTRUCTION Cd.~ DBA: DELTA CONCRETE ~ ' . " . <br />Contact Person: .fro ~ ~c~(15or1 ~ - .. <br />Bidder's Telephone Number: ~ ~~-t 1) CcBS ' Z 2 ~3 , " <br />- ,. . <br />'_ ~ , ~~" ^ -Check here if the bid amount less deductive alternates; if any, is $100,000 or less: If the bid <br />' ' . ...amount less deductive alternates, if any, is equal, to or less than $100,000, the remainder of the <br />`' form does not need to be completed, but the form must still be submitted. <br />Via' ° " List below the Name, Dollar Value, and Construction Contractors Board ("CCB") License Number, , <br />and Category of Work that will be performed by each subcontractor that will be furnishing labor, or <br />_ . "labor and materials.. Enter "NONE" if there are no subcontractors that need'. to be disclosed (IF <br />" ~ ~ NEEDED, ATTACH ADDITIONAL SHEETS)., ~ ; <br />3) : <br />