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pdfDAVIS-BACON WAGE SURVEY - SUBCONTRACTOR LIST
1.
2.
U.S. DEPARTMENT OF LABOR
Please identify by name, address, phone number, your subcontractors that performed work on each project for which a WD-10 is being submitted.
Please PRINT each character into the white box with black/blue pen or TYPE information into the white boxes.
PROJECT NAME ON WD-10
SUBCONTRACTOR
NAME
NAME
ADDRESS 1
ADDRESS
ADDRESS 2
CITY
CITY
STATE
STATE
Same Project as above
ADDRESS
ADDRESS 2
CITY
CITY
STATE
COUNTY
ADDRESS
ADDRESS 2
CITY
CITY
STATE
COUNTY
ADDRESS
ADDRESS 2
CITY
CITY
STATE
COUNTY
FORM WD10-Sublist (04/21/2010)
PHONE
NAME
ADDRESS 1
STATE
ZIP CODE
TYPE OF WORK
Same Project as above
NAME
PHONE
NAME
ADDRESS 1
STATE
ZIP CODE
TYPE OF WORK
Same Project as above
NAME
PHONE
NAME
ADDRESS 1
STATE
ZIP CODE
TYPE OF WORK
COUNTY
NAME
Addendum to Form WD-10, OMB No. 1235-0015
Approval Expires 01/31/2011
SIDE 1
ZIP CODE
PHONE
TYPE OF WORK
Note: Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number.
DAVIS-BACON WAGE SURVEY - SUBCONTRACTOR LIST
1. Please identify by name, address, phone number, your subcontractors that performed work on each project for which a WD-10 is being submitted.
2. Please PRINT each character into the white box with black/blue pen or TYPE information into the white boxes.
PROJECT NAME ON WD-10
SUBCONTRACTOR
NAME
NAME
ADDRESS 1
ADDRESS
ADDRESS 2
CITY
CITY
STATE
STATE
COUNTY
ZIP CODE
NAME
ADDRESS 1
ADDRESS
ADDRESS 2
CITY
CITY
STATE
STATE
COUNTY
ZIP CODE
NAME
ADDRESS 1
ADDRESS
ADDRESS 2
CITY
CITY
STATE
STATE
COUNTY
ZIP CODE
NAME
ADDRESS 1
ADDRESS
ADDRESS 2
CITY
CITY
STATE
STATE
COUNTY
FORM WD10-Sublist (04/21/2010)
PHONE
TYPE OF WORK
Same Project as above
NAME
PHONE
TYPE OF WORK
Same Project as above
NAME
PHONE
TYPE OF WORK
Same Project as above
NAME
SIDE 2
ZIP CODE
TYPE OF WORK
PHONE
| File Type | application/pdf |
| File Title | wd10sublistp1.p65 |
| Author | mager001 |
| File Modified | 2010-12-09 |
| File Created | 2010-12-08 |