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CITY OF EVERETT PUBLIC WORKS 00 61 25 , <br /> SPECIAL PROVISIONS RETAINAGE ESCROW AGREEMENT ' <br /> Contractor Supplied Information. Contractor provides the following information: ' <br /> CONTRACTOR SUPPLIED INFORMATION , <br /> Contractor <br /> Name I <br /> Address/Phone ' <br /> Representative Authorized to Direct Investment <br /> END OF DOCUMENT ' <br /> I <br /> Retainage Escrow Agreement and Instructions--Exhibit A <br /> Page 2 <br />