Name/Address 11 Dollar Value/CCB# Category of Work <br />d <br />4) e <br />U ~%( `rte ~a <br />~~t~~~4~~~~~~ ~166~ <br />5> <br />6) <br />,~) <br />8) _ <br />The above listed first-tier subcontractor(s). will provide labor or labor .and materials with a Dollar <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 />If the Dollar Value is less than $15,000 do not list the subcontractor above; or <br />b) $350,000 •regardless of the percentage of the total contract price. <br />FAILURE TO SUBMIT THIS FORM BY THE DISCLOSURE DEADLINE WILL RESULT IN A <br />BID SUBMITTED BECOMING NON-RESPONSIVE, AND SUCH BIDS SHALL NOT BE <br />CONSIDERED FOR AWARD. <br />