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Firm Name ATTACHMENT 3 Bidder's list Collection Form (SAMPLE BIDDERS LIST COLLECTION FORM) DBE or Non- Firm DBE Status Addressl (verify via Age afFirm Phone # State's UCP Directory) o Less than 1 year o 1-3 years o 4-7 years o 8-10 years o More than 10 years o Less than 1 year o 1-3 years o 4-7 years o 8-10 years o More than 10 years o Less than 1 year o 1-3 years o 4-7 years o 8-10 years o More than 10 years o Less than 1 year o 1-3 years o 4-7 years o 8-10 years o More than 10 years o Less than 1 year o 1-3 years o 4-7 years 10 8-10 years o More than 10 years o Less than 1 year o 1-3 years o 4-7 years o 8-10 years o More than 10 years August 19, 2015 Annual Gross Receipts o Less than $500K o $500K -$1 million o $1-2 million o $2 -5 million o Greater than $5 million o Less than $500K o $500K -$1 million o $1-2 million o $2 -5 million o Greater than $5 million o Less than $500K o $500K -$1 million o $1-2 million o $2-5 million o Greater than $5 million o Less than $500K o $500K -$1 million o $1-2 million o $2-5 million o Greater than $5 million o Less than $500K o $500K -$1 million o $1-2 million o $2-5 million o Greater than $5 million o Less than $500K o $500K -$1 million o $1-2 million o $2-5 million o Greater than $5 million Page 23 of43