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� ATTAqIMQT A <br /> D!E COMTRACT01{ItUKUpI CO�TACT-0TIl17ATI0N IIEP01{T <br /> � DBE <br /> Name af F'um � <br /> Addrcss/City/Zip: <br /> T�1wa <br /> " t)acrip•ion of worlc to be pafamed.suPP��es.mataials or equipmait: <br /> .— O Bidder O loiat Veom.:. O Suboo�nnet <br /> O Manufaawa/Rqulu Dakr O Supplia On1Y <br /> 0 P�urluscr and Insuila •O Imnlla Onlv <br /> -� DBE <br /> NLne of Firm:_ � <br /> °• AddradCiry/Zip: <br /> ' T�A� <br /> �., pac�p�icm otwrork to be pedonrod.A�ppiiea.materials or equipmrnt: <br /> p gj� O 1oiM Venturc O Subcontrxt <br /> O MmufscxutedRe6ulu Dale� ❑ Supptier Only <br /> O Pwchafer ana l�walkr •O Imhiler ON <br /> DBE <br /> Name dFirm: � — <br /> • Addrcs�CitylZip: <br /> . _ . .._: T�A!!ic <br /> , <br /> pe�cription d walc to be petf'otnbd.+u�plia.materiilc ar equipmmr. <br /> � <br /> p g� - O loinc Venture O Subcontract <br /> ' O ���pp� 0 Supplia Only <br /> ,� 0 Purclurer�tW Inwtkr •O Imtalkr Onl <br /> ., TOTAL OSE�IMVOE OOLLIIR COMNNTMENT � <br /> TOTAL DSE�MW�E PERCENTAO�OF TOTAL SIO PRICE x <br /> . • R,,,..s m pnr�ao�a�z.aw��bi1Nr m�Y cws od7'MSY PNe�C20R)d���wria�a�lfnn wqMwn w1'°�n <br /> NOT nreYhceinn or npl�r MMW <br /> -' (M�k��Nitiarl copiM of fwe�it n�q'J <br /> "' R��T��0�I10 ENO OF fECT10� 0/E fwM��T�T�T <br /> ca�x�au N�tw �tt�eit� <br /> .�.nrr� <br />