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					                                                                  Name of Project
                                                                    Date Time


                    Performance,   Non-       Business
                                                            Base Bid
Company   Addendum Payment & Bid Collusion   Relationship                   Unit 1   Unit 2   Unit 3   Unit 4   Unit 5   Unit 6   Unit 7   Unit 8   Unit 9
                                                            Amount
                   Bond included Affidavit    Affidavit

                         Y/ N       Y/ N         Y/ N
                         Y/ N       Y/ N         Y/ N
                         Y/ N       Y/ N         Y/ N
                         Y/ N       Y/ N         Y/ N
                         Y/ N       Y/ N         Y/ N

				
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posted:8/27/2012
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