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City of Everett 00 61 25 - 5 <br /> <br /> <br />00 61 25 - 5 RETAINAGE ESCROW AGREEMENT <br />EXHIBIT A <br /> <br />City Supplied Information. The City provides the following information: <br /> <br />CITY SUPPLIED INFORMATION <br /> <br />Project <br /> <br /> <br /> <br /> Name Work Order # (if applicable) <br /> <br />Contractor <br /> <br /> City Vendor # <br /> <br />Bank <br /> <br /> City Vendor # <br />Completion Date (as of Agreement date) <br /> <br />Bank Supplied Information. Bank provides the following information: <br /> <br />BANK SUPPLIED INFORMATION <br /> <br />Bank <br /> <br /> Name <br /> <br /> <br /> <br /> Branch <br /> <br /> <br /> <br /> Address/Phone <br /> <br /> <br /> <br /> Contact Person/Account Officer <br />Escrow Account <br /> <br /> <br /> Account Name Bank Account # <br /> <br />Contractor Supplied Information. Contractor provides the following information: <br /> <br />CONTRACTOR SUPPLIED INFORMATION <br /> <br />Contractor <br /> <br /> Name <br /> <br /> <br /> <br /> Address/Phone <br /> <br /> <br /> <br /> Representative Authorized to Direct Investment