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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 /> ' 1 2 3 4 Awards Pending <br /> Subcontractor Otto Baum Milhauser Striping Milhauser Striping <br /> ' Type of Work Earthwork&PCC Pavement Markings Pavement Markings <br /> Subcontract Price 179,819.00 8,580.00 495.00 <br /> Amount Uncompleted 179,819.00 8,580.00 495.00 <br /> ' Subcontractor <br /> Type of Work <br /> t Subcontract Price <br /> Amount Uncompleted <br /> Subcontractor <br /> ' Type of Work <br /> Subcontract Price <br /> Amount Uncompleted <br /> Subcontractor <br /> t Type of Work <br /> Subcontract Price <br /> Amount Uncompleted <br /> ' Subcontractor <br /> Type of Work <br /> Subcontract Price <br /> Amount Uncompleted <br /> Subcontractor <br /> ' Type of Work <br /> Subcontract Price <br /> Amount Uncompleted <br /> ' Subcontractor <br /> Type of Work <br /> ' Subcontract Price <br /> Amount Uncompleted <br /> Total Uncompleted 0.00 179,819.00 8,580.00 495.00 0.00 <br /> ' I,being duly sworn,do hereby declare this affidavit is a true and correct statement relating to ALL uncompleted contracts of <br /> the undersigned for Federal,State,County,City and private work,including ALL subcontract work,ALL pending low bids not <br /> yet awarded or rejected and ALL estimated completion dates <br /> ' Subscribed and sworn to before me <br /> this day of 20 <br /> Type or Print Name <br /> ' Officer or Director Title <br /> Notary Public <br /> Signed <br /> My commission expires: <br /> ' Company <br /> (Notary Seal) Address <br /> 1 <br /> Printed 4/10/2017 Page 8 of 14 BC 57(Rev.08/17/10 <br />