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Subcontractor Bid Form_White Rock Construction, Inc.INFORMATION REQUIRED OF BIDDER LIST OF SUBCONTRACTORS: The Bidder shall list below the name and the location of the place of business of each Subcontractor who will perform work or labor or render service to the prime CONTRACTOR in or about the construction of the work or improvement, or a Subcontractor licensed by the State of California who, under subcontract to the prime CONTRACTOR, specially fabricates and installs a portion of the work or improvement according to detailed drawings contained in the plans and specifications, in an amount in excess of one-half of one percent of the prime contractor's total bid or, in the case of bids or offers for the construction of streets or highways, including bridges, in excess of one-half of one percent of the prime CONTRACTOR'S total bid or ten thousand dollars ($10,000), whichever is greater. The Bidder shall also list below the portion of the work that will be done by each Subcontractor under this Contract. The prime CONTRACTOR shall list only one SUB -CONTRACTOR for each portion as is defined by the prime contractor in his or her bid. Failure to list subcontractors with portions of the Work in excess of the minimum amounts listed above constitutes a declaration by the CONTRACTOR that it is qualified and able to self -perform the work. Any CONTRACTOR found to be unqualified or unable to self -perform any part of the Work not listed below may be disqualified. The Bidder's attention is directed to the provisions of Section 00 73 00, Supplemental Conditions, Part 2.06, entitled Subcontracts. Work to be Performed 1. V 2. Incyi ca�. 3. (�D,n ( e;- i . C(A1 , b 4. 5. 6. 7. 8. 9. 10. Subcontractors Percent of License Number Total Subcontractor's Name Contract and Address Q„«Ic_c n C orvArck(-A-wS:1rC , -ScAn scat L t� / q �i4 10 / ® 3 11.0 z 95C) I 4(Ad I1n Df �R( (01a(�Q�, , CA 15U (v �LI S 70 c�. 5 P,o NOTE: ATTACH ADDITIONAL SHEETS IF REQUIRED APRIL 2022 SECTION 00 4100 KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS, PHASE 3 BID FORMS 3