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Name/Address Dollar Value/CCB# Category of Work <br /> 4) <br /> <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 Dollar <br /> Value equal to or greater than: <br /> a) 5% ofthe 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 /> <br />