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(Date) <br /> STATE OF �, p <br /> COUNTY OF <br /> Thn £mmnaniaa ianiviumnat uinn nnlranmindand hnfnrn mn thin AIAP dmi of In hit <br /> Contract in excess of one-half percent of the total bid price,and shall also list the portion of the Work which wilt <br /> be done by such Subcontractor. After the opening of bids, changes or substitutions will not be allowed unless <br /> approved bV OWNER after a request for such chnnge has been submitted in writing by the Ridder, which shall <br /> include reasons for such request. Subcontractors must be properly licensed or hold a valid Certificate of <br /> Competency. <br /> Work to be Performed and Percent of Total Subcontractor's Name/Address <br /> 1. Iy / <br /> 2. <br /> 3. <br /> 4. <br /> 5. <br /> Bidder's Name <br /> Page 18 of 21 <br /> 33 <br />