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' IV. Except for any work identified above, any bidder or subcontractor that shall perform all or part of the work of the <br /> contract or deliver and install proposal solely by individual owners, partners or members and not by employees to <br /> whom the payment of prevailing rates of wages would be required, check the following box,and identify the <br /> ' owner/operator workforce and positions of ownership. ❑ <br /> ' The requirements of this certification and disclosure are a material part of the contract, and the contractor shall require this <br /> certification provision to be included in all approved subcontracts. The bidder is responsible for making a complete report <br /> and shall make certain that each type of work or craft job category that will be utilized on the project is accounted for and <br /> ' listed. The Department at any time before or after award may require the production of a copy of each applicable <br /> Certificate of Registration issued by the United States Department of Labor evidencing such participation by the contractor <br /> and any or all of its subcontractors. In order to fulfill the participation requirement, it shall not be necessary that any <br /> applicable program sponsor be currently taking or that it will take applications for apprenticeship,training or employment <br /> ' during the performance of the work of this contract or deliver and install proposal. <br /> Bidder: 6N�_w coe�4 -c,,c%r5 By: <br /> (Signature) <br /> Address: m4p IEO Ssk goh*°�Xy QA Title: <br /> 1 <br /> ' Printed 3/4/2021 Page 2 of 2 BLR 12325(Rev.4/07) <br />