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Page 5 of 5 <br />ATTACHMENT A <br />1. List of all subcontractors, laborers, materialmen and suppliers who have not been <br />paid from the payment received from the last Pay Request and the reason why they <br />were not paid (attach additional pages as necessary): <br />2. List of all subcontractors, laborers, materialmen and suppliers for which a signed <br />release of lien form (partial or final as applicable) is not included with this Pay <br />Request, together with an explanation as to why the release of lien form is not <br />included (attach additional pages as necessary): <br />Contractor's Application for Partial Payment - 06-09 rev - 00622 - 5 <br />F:\PublicWorks\ENGINEERING DIVISION PROJECM1764 IRC Courthouse Roof Replacement\t-Admin\Bids\Bid Documents\Master Bid Documents\DIV 0_3_Contract Forms - <br />20210223.docx . <br />