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Name%Address Dollaz Value/CCB# Category of Work <br /> 4) <br /> . 5) . <br /> 6) <br /> 7) <br /> 8) <br /> The above listed first-tier subcontractor(s) will provide labor or labor and materials with a Dollaz <br /> `Value equal to or greater than: <br /> a) 5% of the total Base Bid amount less deductive alternates, if any, or $15,000, whichever is larger. <br /> Ifthe Dollar Value is less than $15,000 do not list the subcontractor above; or <br /> b) $350;000 regazdless of the percentage of the total contract price. <br /> FAILURE TO SUBMIT THIS FORM BY THE DISCLOSURE DEADLINE WILL RESULT IN A <br /> <br /> 'BID SUBMITTED. BECOMII~IG NON-RESPONSIVE, AND .SUCH BIDS SYIALL NOT BE <br /> CONSIDERED FOR AWARD. <br /> <br />