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' Part III.Work Subcontracted to Others. <br /> For each contract described in Part I,list all the work you have subcontracted to others. <br /> 1 2 3 4 Awards Pending <br /> Subcontractor Cedar Falls Co. <br /> Type of Work Concrete patching <br /> Subcontract Price $49,746' <br /> Amount Uncompleted $49,746 <br /> ' Subcontractor Tristate <br /> Type of Work Fog Seal <br /> Subcontract Price $13,065! <br /> ' Amount Uncompleted $13,065' <br /> Subcontractor Stevens Erosion <br /> Type of Work Erosion Control <br /> Subcontract Price $10,510;, <br /> Amount Uncompleted $10,510' <br /> Subcontractor Blue Top Excavating <br /> Type of Work Sewer <br /> Subcontract Price $246,007 <br /> Amount Uncompleted $246,007' <br /> Subcontractor IPSI <br /> Type of Work Traffic Control <br /> ' Subcontract Price $38,359..; <br /> Amount Uncompleted 538,3591 <br /> Total Uncompleted $357,687; <br /> Notary <br /> I,being duly sworn,do hereby declare this affidavit is a true and correct statement relating to ALL uncompleted contracts of the <br /> ' undersigned for Federal, State,County,City and private work, including ALL subcontract work,ALL pending low bids not yet awarded or <br /> rejected and ALL estimated completion dates. <br /> Officer or Director Subscribed and sworn to before me <br /> 2 � � <br /> ' Nicholas Ruholl this I <br /> day of ©22 <br /> Title <br /> Estimator <br /> Si nyaatture Dapte! �iignatureofc)/ <br /> ��� � (['t��l•C My commission expires <br /> Company TAYLOR ELISE BURK <br /> Microsurfacing Contractors, LLC Notary Public-Notary Seal <br /> Address STATE OF MISSOURI <br /> St Louis county <br /> 13940 St. Charles Rock Road My Commission Expires:Nov.14,2025 <br /> Commission#21495267 <br /> Citv State Zip Code <br /> ' Bridgeton — � MO 63044 (Notary Seal) <br /> ' EJ Add pages for additional contracts <br /> ' Printed 06/20/22 Page 2 o* 0 BC 57(Rev.02/16/21) <br />