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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 granted until all affidavits are listed. <br />Subcontractor's Name: <br />UBI Number: (Required) <br />Affidavit ID* <br />Northwest concrete cutting <br />603 572 428 <br />751318 <br />0-CO Concrete Construction <br />603 560 682 <br />752635 <br />Pacwest grinding <br />603 493 970 <br />753276 <br />Bilbrey Construction <br />603 002 155 <br />752792 <br />Apply -a -line <br />600 553 941 <br />776714 <br />Moby's 24hr street sweeping <br />603 358 194 <br />752391 <br />Cascade Utility adjusting <br />603 407 046 <br />751324 <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 (10/26/15) F215-038-000 10-2014 <br />3 <br />