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Kernersville B-40 & South - Town of Kernersville

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Contract # 11509; WBS #: 3709.3.23<br />

B<strong>40</strong> Interchange Landscape (Forsyth County)<br />

LISTING OF DBE SUBCONTRACTORS SHEET ________ OF __________<br />

Firm Name and Address Item No. Item Description<br />

Name<br />

Address<br />

* Agreed upon<br />

Unit Price<br />

** Dollar Volume <strong>of</strong><br />

Item<br />

Name<br />

Address<br />

Name<br />

Address<br />

Name<br />

Address<br />

Name<br />

Address<br />

Name<br />

Address<br />

Name<br />

Address<br />

This form must be completed in order for the Bid to be considered responsive and be publicly read.<br />

Bidders with no DBE participation must so indicate this on the form by entering the word or number zero.<br />

MISC2 Rev 9-26-11

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