Subcontractor Affidavit Template Page 3
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COMPLETE THIS PAGE ONLY IF YOU ANSWERED YES TO QUESTION D. ABOVE.
ND
LIST ALL 2
TIER SUBCONTRACTORS THAT YOU HIRED FOR THIS PROJECT.
1. Sub Name ____________________________ Phone No. _____________________
Description of Work ________________________ Final Contract Price $ ___________
Primary Contact ___________________________ Email ________________________
2. Sub Name ____________________________ Phone No. _____________________
Description of Work ________________________ Final Contract Price $ ___________
Primary Contact ___________________________ Email ________________________
3. Sub Name ____________________________ Phone No. _____________________
Description of Work ________________________ Final Contract Price $ ___________
Primary Contact ___________________________ Email ________________________
4. Sub Name ____________________________ Phone No. _____________________
Description of Work ________________________ Final Contract Price $ ___________
Primary Contact ___________________________ Email ________________________
5. Sub Name ____________________________ Phone No. _____________________
Description of Work ________________________ Final Contract Price $ ___________
Primary Contact ___________________________ Email ________________________
IF YOU HAVE MORE THAN 5 SECOND TIERS SUBS, PLEASE MAKE A COPY OF
THIS PAGE, COMPLETE AND REMIT WITH THE COMPLETED AFFIDAVIT.
1777 BROADWAY P.O. BOX 791 BOULDER, CO 80306 303/441-3288
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