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ATTACHMENT A-2 <br />ADDITIONAL SUBCONTRACTORS LIST <br />PRIME CONTRACTOR TO SUBMIT AS SUBCONTRACTORS ARE ADDED TO THE PROJECT <br />STATE PROJECT NUMBER: <br />This form must be submitted to the Project Manager or individual as identified in the solicitation document. <br />Minn. Stat. § 16C.285, Subd. 5. ... If a prime contractor or any subcontractor retains additional subcontractors on the <br />project after submitting its verification of compliance, the prime contractor or subcontractor shall obtain verifications of <br />compliance from each additional subcontractor with which it has a direct contractual relationship and shall submit a <br />supplemental verification confirming compliance with subdivision 3, clause (7), within 14 days of retaining the <br />additional subcontractors.... <br />ADDITIONAL SUBCONTRACTOR NAMES* <br />(Legal name of company as registered with the Secretary of <br />State) <br />Name of city where company <br />home office is located <br />*Attach additional sheets as needed for submission of all additional subcontractors. <br />SUPPLEMENTAL CERTIFICATION FOR ATTACHMENT A-2 <br />By signing this document I certify that I am an owner or officer of the company, and I certify under oath <br />that: <br />All additional subcontractors listed on Attachment A-2 have verified through a signed statement under <br />oath by an owner or officer that they meet the minimum criteria to be a responsible contractor as defined <br />in Minn. Stat. § 16C.285. <br />Authorized Signature of Owner or Officer: Printed Name: <br />Title: Date: <br />Company Name: <br />Revised 2/3/2021 Page 5 of 5 <br />