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FIlZST-TIER~SUBCONTRACTOR DISCLOSURE STATEMENT <br /> Project Title: Eugene Airport --Rehab North Ramp at South Kilo <br /> City of Eugene Project No. 4598 . <br /> Bid Closing: Date: April 2009 Time: 2:00 p.m. <br /> Submit to: 99 E. Broadway, Suite 400, 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 required to 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 /> Bidder's Name: WILDISH CONSTRUCTION CO. <br /> Contact Person: STAN GAPPA <br /> Bidder's Telephone Number: 5 41- 4 8 5 -17 0 0 <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 /> 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 /> <br /> NEEDED, ATTACH ADDITIONAL~SHEETS). <br /> Name/Address Dollar Value/CCB# Category of Work <br /> f <br /> 2) <br /> 3) <br /> <br />