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1 <br /> City of Everett 00 4539- I <br /> IDiversion Dam Road Phase 3 UT 3707&UT 3708 <br /> SECTION 00 4539-MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> ' Although a set a ercenta of DBE's and WBE's subcontracts is not required in the <br /> performance of the work'percentage <br /> this Contract, in the event that subcontractors will be used <br /> ' in the performance of this Contract, Bidder is required to solicit bids from DBE and WBE <br /> subcontractors as a condition to qualify for award of contract, Failure to solicit <br /> subcontract bids from DBE or WBE subcontractors or failure to list them below <br /> shall disqualify a contract Bidder from consideration from contract award. During <br /> ' Contract performance, or in any event prior to final payment, Bidder shall provide the City <br /> with the names and addresses of all DBE and WBE subcontractors actually awarded <br /> subcontracts and performing work under the contract. in the event that a subcontract bid <br /> Is solicited and listed below and a subcontract is not awarded to the DBE/WBE so listed, <br /> ' Contractor shall state the reasons such subcontract was not awarded to the DBR/WBE <br /> and shall state the DBEIWBE quote together with the actual subcontract price paid and <br /> the name of the subcontractor to whom the work was subsequently awarded. <br /> I. List all DBE and WBE subcontractors and suppliers from which bids or quotes for f <br /> work on this project have been solicited: <br /> Name of Firm Address Work involved <br /> Il. Please estimate the percentage of work tha ij be subcontracted to DBE's and <br /> WBE's subcontractor and/or suppliers: ( In <br /> Ill. Please <br /> estimate <br /> the <br /> epercentage of your force on this project that will be made up <br /> of m vri <br /> ' I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY <br /> KNOWLEDGE AND BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION <br /> REQUESTED BY THE CITY REGARDING DBENVBE SUBCONTRACT WORK. <br /> Signature: . ; Date: 645/ <br /> END OF SECTION 00 4539 <br /> 00 4539- 1 MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> • <br /> Provided to Builders Exchange of {WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Seal <br />