Federal Requirements For Construction Contracts Page 10

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GENERAL CONTRACTOR’S SUBCONTRACTOR/VENDOR REPORT
Project Name:
Contact Person:
General Contractor:
Telephone Number of Contact Person:
Date:
Page #
of
Check if
Second or
Trade,
If
Third Tier
Construction
MBE/WBE,
Sub-
Element, or
Specify
Check if
Name/Address/Telephone
Contractor*
Tax I.D.
Dollar Amount
Service
Group(s)**
Section 3
*If yes, state here (or on an attached page if necessary) the name of the higher tier subcontractor who has contracted with this lower
tier subcontractor:
**African American, Hispanic, Native American, Asian/Pacific Islander, Eskimo/Aleut; Female

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