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<br />PAGE 1 OF 2 <br /> <br />SECTION 3 AND <br /> <br /> CONTRACTOR ELIGIBILITY DATA <br /> <br /> <br />Each Prime Contractor and Sub-contractor <br />are required to complete both pages <br /> <br /> <br />name and address <br />PROJECT: <br /> <br />XXXXXXXX <br />PRIME CONTRACTOR: <br /> Address city zip <br /> <br />XXXXXXXX <br />SUBCONTRACTOR: <br /> Address city zip <br /> <br />Contractor Eligibility <br /> <br /> <br />HUD requires that prime and subcontractors demonstrate that they are bonafide contractors <br />eligible to perform Federally-funded construction projects. Check the following eligibility criteria <br />which apply to your business and fill in the additional information. (Not all three criteria are <br />required to be considered a bona fide contractor.) <br /> <br />Criteria <br /> <br /> <br />1. _____ A capital investment in the company by each owner/partner. <br /> <br />2. _____ Community recognition such as a telephone listing. <br />Telephone Number: ______________________ <br /> <br />3. _____ Oregon State Contractor License Number ____________________ <br />(If a subcontractor doesn't have an Oregon State Contractor License number, their work <br />hours must be carried on the prime contractor's weekly payroll reports.) <br /> <br />Additional Information <br /> <br /> <br />4. <br />Number of employees: __________ (If work is personally performed by owners/partners, <br />payroll reports are still required, as well as a statement certifying that work is personally <br />performed. The Eugene Planning and Development Department will provide the form for this <br /> <br />statement.) <br /> <br /> <br /> <br />