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Addendum A: Please List all Subcontractors and Sub -tiers Below <br />This addendum can be submitted in other formats. <br />Provide known affidavits at this time. No L &I release will be eranted until all affidavits are listed. <br />Subcontractor's Name: UBI Number: (Required) Affidavid ID* <br />Hot Mix Pavers, Inc. 600310693 707139 <br />West Coast Signal, Inc. 603149602 707188 <br />For tax assistance or to request this document in an alternate format, please call 1- 800 - 647 -7706. Teletype (TTY) users may use the <br />Washington Relay Service by calling 711. <br />REV 31 0020e Addendum (04/28/14) F215- 038 -000 04 -2014 <br />3 <br />