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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 />Apply -A -Line LLC <br />600553941 <br />846002 <br />Glacer Northwest DBA CalPortland <br />601301145 <br />839313 <br />Michels Corp <br />601061071 <br />822941 <br />Old Mack LLC <br />604216260 <br />not filed <br />Olson Brothers Pro -Vac LLC <br />602170975 <br />847706 <br />Ralph's Concrete Pumping <br />578085430 <br />838377 <br />RamJack West <br />603499720 <br />not filed <br />Roadrunner Concrete Cutting LLC <br />602908125 <br />846781 <br />Sebastian Construction Inc <br />604274200 <br />875180 <br />Old Mack LLC <br />604216260 <br />921253 <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 3 <br />