New Mexico Department of Transportation Form No. A-971 Rev. 05/05 ASSIGNMENT OF ANTITRUST CLAIMS agrees that any and all claims which it may have for overcharges resulting from antitrust violations as to goods, services and materials purchased in connection with the New Mexico Project No. are hereby assigned to the State of New Mexico, but only to the extent that such overcharges are passed on to the State. It is agreed that the undersigned retains all right to any such antitrust claims to the extent of any overcharges not passed on the State, including the right to any treble damages attributable thereto. Name of Individual Empowered to Obligate Firm Signature Title Date This form shall be executed by subcontractors and second tier subcontractors of Contractors on State Department of Transportation contracts.