Form Erd-10584 - Agent Or Subcontractor Affidavit Of Compliance With Prevailing Wage Determination Page 2

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List of Agents and Subcontractors
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Name
Name
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Name
Name
Street Address
Street Address
City
State
Zip
City
State
Zip Code
Code
Telephone Number
Telephone Number
(
)
(
)
Name
Name
Street Address
Street Address
City
State
Zip
City
State
Zip Code
Code
Telephone Number
Telephone Number
(
)
(
)
Name
Name
Street Address
Street Address
City
State
Zip
City
State
Zip Code
Code
Telephone Number
Telephone Number
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If you have any questions call (608) 266-6861
Page 2

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