Form Erd-5724 - Prime Contractor Affidavit Of Compliance With Prevailing Wage Rate Determination - 2000 Page 2

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LIST OF AGENTS OR SUBCONTRACTORS
NAME ______________________________________
NAME ______________________________________
ADDRESS __________________________________
ADDRESS __________________________________
CITY, STATE, ZIP CODE _______________________
CITY, STATE, ZIP CODE _______________________
TELEPHONE #(_______)_______________________
TELEPHONE #(_______)_______________________
NAME ______________________________________
NAME ______________________________________
ADDRESS __________________________________
ADDRESS __________________________________
CITY, STATE, ZIP CODE _______________________
CITY, STATE, ZIP CODE _______________________
TELEPHONE #(_______)_______________________
TELEPHONE #(_______)_______________________
NAME ______________________________________
NAME ______________________________________
ADDRESS __________________________________
ADDRESS __________________________________
CITY, STATE, ZIP CODE _______________________
CITY, STATE, ZIP CODE _______________________
TELEPHONE #(_______)_______________________
TELEPHONE #(_______)_______________________
NAME ______________________________________
NAME ______________________________________
ADDRESS __________________________________
ADDRESS __________________________________
CITY, STATE, ZIP CODE _______________________
CITY, STATE, ZIP CODE _______________________
TELEPHONE #(_______)_______________________
TELEPHONE #(_______)_______________________
NAME ______________________________________
NAME ______________________________________
ADDRESS __________________________________
ADDRESS __________________________________
CITY, STATE, ZIP CODE _______________________
CITY, STATE, ZIP CODE _______________________
TELEPHONE #(_______)_______________________
TELEPHONE #(_______)_______________________
NAME ______________________________________
NAME ______________________________________
ADDRESS __________________________________
ADDRESS __________________________________
CITY, STATE, ZIP CODE _______________________
CITY, STATE, ZIP CODE _______________________
TELEPHONE #(_______)_______________________
TELEPHONE #(_______)_______________________

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