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Name/Address Dollar Value/CCB# Category of Work <br /> 4) <br /> <br /> ~1 <br /> . 5) <br /> i <br /> I, <br /> 6) ~ , <br /> C <br /> i <br /> s> <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 SUBMITTHIS 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 /> <br />