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State of North Carolina <br />Prequalification for Single Prime Contractors <br />#2 — Sub - Contractor Reference <br />#3 — Sub - Contractor Reference <br />#2 — Similar - Project Name <br />Project description and its' Similarity to <br />proposed project <br />Role and Responsibility <br />Delivery Method <br />Owner Name/ Representative <br />Owner Address /Phone # <br />Architect Name /Representative <br />Architect Address /Phone # /Email <br />Contract Dollar Value <br />Final Contract Dollar Value <br />Scheduled Completion Date <br />Actual Completion Date <br />Performance Rating or Letter of <br />Commendation <br />Sub - Contractor Relations — References <br />from similar relevant projects <br />#1— Sub - Contractor Reference <br />#2 — Sub - Contractor Reference <br />#3 — Sub- Contractor Reference <br />#3 — Similar - Project Name <br />Project description and its' Similarity to <br />proposed project <br />Role and Responsibility <br />Delivery Method <br />Owner Name/ Representative <br />Owner Address /Phone # <br />Architect Name /Representative <br />Architect Address /Phone # /Email <br />Prequalification — Form 03 -01 -11 10 of 12 <br />Attachment number 3 <br />F -1 Page 73 <br />