SUBCONTRACTOR Name $_________ SEED % Address ___ Qualified Amount of City, State, Zip of Total Primary Contact Yes No Total Proposal Phone # Proposal License Number & Classification DIR # SUBCONTRACTOR Name SEED $_________ % Address ___ Qualified Amount of City, State, Zip of Total Yes No Total Primary Contact Proposal Phone # Proposal License Number & Classification DIR # SUBCONTRACTOR Name $_________ SEED % Address ___ Qualified Amount of City, State, Zip of Total Primary Contact Yes No Total Proposal Phone # Proposal License Number & Classification DIR # SUBCONTRACTOR Name SEED $_________ % Address ___ Qualified Amount of City, State, Zip of Total Yes No Total Primary Contact Proposal Phone # Proposal License Number & Classification DIR # CONTRACTOR’S LICENSE INFORMATION I, hereby certify under penalty of perjury, that (Print Company Representative Name) is/are (Print Company Name) licensed by the California Department of Consumer Affairs, Contractors State License Board, under Chapter 9 of Division 3 of the Business and Professions Code of the State of ; and that said license(s) is/are in a classification(s) appropriate for the work to be undertaken. It is the responsibility of the Contractor to verify that all of its subcontractors have a California License that is active, current and in good standing. Contractor’s
SUBCONTRACTOR Name Address City, State, Zip Primary Contact Phone # License Number & Classification DIR # SEED Qualified Yes No ___ % of Total Proposal $_________ Amount of Total Proposal SUBCONTRACTOR Name Address City, State, Zip Primary Contact Phone # License Number & Classification DIR # SEED Qualified Yes No ___ % of Total Proposal $_________ Amount of Total Proposal SUBCONTRACTOR Name Address City, State, Zip Primary Contact Phone # License Number & Classification DIR # SEED Qualified Yes No ___ % of Total Proposal $_________ Amount of Total Proposal SUBCONTRACTOR Name Address City, State, Zip Primary Contact Phone # License Number & Classification DIR # SEED Qualified Yes No ___ % of Total Proposal $_________ Amount of Total Proposal CONTRACTOR’S LICENSE INFORMATION I, hereby certify under penalty of perjury, that (Print Company Representative Name) is/are (Print Company Name) licensed by the California Department of Consumer Affairs, Contractors State License Board, under Chapter 9 of Division 3 of the Business and Professions Code of the State of ; and that said license(s) is/are in a classification(s) appropriate for the work to be undertaken. It is the responsibility of the Contractor to verify that all of its subcontractors have a California Contractor’s License that is active, current and in good standing.
399004511.docx