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FIRST-TIER SUBCONTRACTOR DISCLOSURE STATEMENT <br />Project Title: Traffic Calming on Praslin Street, Fillmore Street and East <br />32"d Avenue <br />City of Eugene Project No. 4658 <br />Quote Closing: Date: October 2, 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 quote closing date <br />and time. <br />Quoters are required to submit a first tier subcontractor disclosure form, substantially as described in <br />ORS 279C.370, prior to the Quote Closing Date and time. For this project the First-Tier <br />Subcontractor Disclosure Statement must be submitted regardless of the quote amount. <br />QUOTER INFORMATION <br />Quoter's Name: Morse Bros., Inc. dba Knife River <br />Contact Person: <br />Quoter's Telephone Number: S 41.- ( S9 - 6k_, C,C <br />Check here if the quote amount less deductive alternates, if any, is $100,000 or less. If the <br />quote amount less deductive alternates, if any, is equal to or less than $100,000, the remainder <br />of the 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 />NEEDED, ATTACH ADDITIONAL SHEETS). <br />Name/Address Dollar Value/CCB# Category of Work <br />2) <br />3) <br />