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' Part 111.Work Subcontracted to Others. <br /> For each contract described in Part I,list all the work you have subcontracted to others. <br /> r <br /> 2 3 4 Awards Pending 1 <br /> Subcontractor Varsity Striping Varsity Striping <br /> Type of Work Striping Striping <br /> Subcontract Price $115,067 $51,396 <br /> Amount Uncompleted $115,067 $51,396 <br /> Subcontractor Warning Lites Warning Lites <br /> Type of Work Traffic Control } Traffic Control <br /> Subcontract Price $8,180 $8,750 <br /> Amount Uncompleted $8,180 $8,750 <br /> ' Subcontractor Protack Protack <br /> Type of Work Tack Coat Tack Coat <br /> Subcontract Price $20,574 $8,082 <br /> Amount Uncompleted $20,574 $8,082 <br /> Subcontractor <br /> Type of Work <br /> Subcontract Price <br /> Amount Uncompleted <br /> Subcontractor <br /> Type of Work <br /> t Subcontract Price <br /> Amount Uncompleted <br /> Total Uncompleted $143,821 $68,228 <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 <br /> ' Subscribed and sworn to before me <br /> Nicholas Ruholl ] this 2-�<A day of ape I ,2 nzz <br /> Title <br /> Estimator <br /> ' <br /> Signature Date <br /> / (Signature of Notary Public) <br /> My commission expires _ <br /> Company <br /> Microsurfacing Contractors, LLC TAYLOR ELISE BURK <br /> Address _ Notary Public•Notary Seal <br /> STATE OF MISSOURI <br /> 13940 St. Charles Rock Rd St Louis county <br /> My commission Expires:Nov.14,2025 <br /> CitY State Zip Code commission#221495267 <br /> Bridgeton MO 63044 (Notary seal) <br /> ❑ Add pages for additional contracts <br /> ' Printed 06/20/22 Wage 4 of 10 BC 57(Rev.02/16/21) <br />