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IV. Except for any work identified above, any bidder or subcontractor that shall perforr ri all or part of the work of the <br /> contract or deliver and install proposal solely by individual owners, partners or mei nbers and not by employees to <br /> whom the payment of prevailing rates of wages would be required, check the folloi ving 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 responsibla for making a complete report <br /> and shall make certain that each type of work or craft job category that will be utilized on t a project is accounted for and <br /> listed. The Department at any time before or after award may require the production of a py of each applicable <br /> Certificate of Registration issued by the United States Department of Labor evidencing suc i participation by the contractor <br /> and any or all of its subcontractors. In order to fulfill the participation requirement, it shall t 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 /> Lam. <br /> Bidder: 1 Yl� G �e-4Irt'C. 0 ��Ccx�r By: <br /> (Sign ) <br /> Address: qq S � �a n�S� Title: +Elrp-sle-cai-ur, TL (n a Sa s <br /> i <br /> Printed 2/7/2013 Page 2 of 2 BLR 12325(Rev.4/07) <br /> III <br />