Commonwealth Of Virginia Department Of Transportation Subletting Request Page 2

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Form C-31
Rev. 8-5-05
Page 2
Proposed Subcontractor
This is to certify that as an authorized representative of the below listed subcontractor, I have reviewed,
understand and agree, to comply with the "Required Contract Provision - Form FHWA 1273" as stipulated
in the contract for the above listed project.
Name of Subcontractor
Address
Phone No.
City, State and Zip
By:
Signature(Officer of Subcontractor)
Title
Date
Prime Contractor
As an authorized representative of the prime contractor, I certify that this sublet meets and is in accordance with the
requirements of the contract for the above project between the undersigned contractor and the Commonwealth of
Virginia/Virginia Department of Transportation.
Name of Prime Contractor
$
Address
Actual Amount of Subcontract
City, State and Zip
Phone No.
By:
Signature(Officer of Prime Contractor)
Title
Date
VDOT Approval of Contractor's Subletting Request
RECOMMENDED FOR APPROVAL
APPROVED
Residency Administrator
Date
District Construction or Maintenance Engineer
Date
1. Contractor submits original to Residency Administrator
Sublets under $25,000 $
2. After Recommendation, the Residency Administrator submits original
Sublets to Date
$
and 1 copy to the District Construction or Maintenance Engineer.
3. After Approval, the District Construction or Maintenance Engineer
Percent Sublet
makes distribution including one copy to the Construction Engineer.
Original - District File
Copy - Construction Engineer, Central Office

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