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Name/Address Dollar 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 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 />