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Section 006125 <br /> Retainage Escrow Agreement <br /> 111 EXHIBIT A <br /> City Supplied Information.The City provides the following information: <br /> CITY SUPPLIED INFORMATION <br /> Project <br /> Name Work Order#(if applicable) <br /> Contractor <br /> City Vendor# <br /> Bank <br /> City Vendor# <br /> Completion Date (as of Agreement date) <br /> Bank Supplied Information. Bank provides the following information: <br /> BANK SUPPLIED INFORMATION <br /> Bank <br /> 111 Name <br /> Branch <br /> Address Phone <br /> Contact Person/Account Officer <br /> Escrow Account <br /> Account Name Bank Account# <br /> Contractor Supplied Information. Contractor provides the following information: <br /> CONTRACTOR SUPPLIED INFORMATION <br /> Contractor <br /> Name <br /> 111 Address/Phone <br /> Representative Authorized to Direct Investment <br /> Retainage Escrow Agreement and Instructions--Exhibit A <br /> Page 1 <br /> I <br />