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Name:
Company:
Email:
Phone:
Fax:
Type of Project:
Contract Type/Execution Strategy:	-Select One- Design-Bid-Build Lump Sum Turn Key (LSTK) Bridging, Design-Build Design-Build Time Unit Rate Cost Plus Construction Management (At risk) Engineer, Procure, Construct Other
Original $$ Value:
Schedule Dates:	ORIGINAL CURRENT
Most significant types of issues in dispute: