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Get NY DASNY Compliance Report 2005

T / VENDOR INFORMATION NAME: PROJECT# ADDRESS: CITY, STATE ZIP: CONTACT PERSON: (person completing form) FEDERAL ID# - TELEPHONE# EMAIL: - Please check here if you were granted a Total Waiver of the M/WBE Goals by receipt of letter dated: / / Please check here if you are a Construction Contractor and the original contract amount is under $100,000. SUBCONTRACTOR/SUBCONSULTANT and SUPPLIER PAYMENT INFORMATION Name: Address: Work Description: Name: Address: Work Description: Name: Address: W.

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