293-22 Exhibit A.pdf

Article 3.06 State of New Jersey Township of New Jersey Sub-Contractor Use Form Furnish below the company name, address, telephone number, and name of contact person for each sub-subcontractor, if any, to be used in the performance of the Work for the Contract. Experience statements shall be attached hereto for each sub-contractor. NOTE: If no work will be sub-contracted, indicate NONE. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The contractor is advised that any change of sub-contractor(s) from the ones listed herein is subjected to the Township of West Orange’s approval. Change of sub-contractor(s) will be approved only if made for good cause and not as a result of an arbitrary purpose. Witness: ________________________________ (Name of Company) ________________________________ (Address) ___________________________ BY: ________________________________ (Date) (Sign Name (Original Signature Only) ________________________________ (Print Name & Title) 41