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t r <br /> • CITY'OF EVERETT SPECIAL PROVISIONS 113i. <br /> PROPOSAL SIGNATURE SHEET <br /> urea � <br /> The undersigned Bidder understands that the quantities mentioned herein are approximate only and are subject <br /> to increase or decrease,and hereby proposes to perform all quantities of Work as either increased or decreased <br /> in accordance with the provisions of the Contract Documents and at the unit prices bid in the Bid Schedule, <br /> unless such schedule designates lump sum bids,or force account items. <br /> The full names and residences of all persons and parties interested in the foregoing Bid as principals are as <br /> follows: <br /> Name Title Address <br /> tSo (;LAPr P��st 0 etiT. \. d g3k Se ‘t\SC ST <br /> �wJ�oN ; L/ , gtOSS <br /> Bidder acknowledges receipt of Addenda through <br /> Bidder has reviewed the third party liability insurance provisions of the Contract and hereby certifies that <br /> coverage will be provided as required. X Yes No <br /> In preparing this Bid,Bidder is especially directed to consider 1-07.23(1) CONSTRUCTION UNDER <br /> TRAFFIC, 1-08.4(2)WORK SEQUENCING,1-08.4(3) SPECIAL CONSTRUCTION <br /> CONSTRAINTS,which contains information that must be taken into consideration when preparing this bid. <br /> This notice is only a convenience to the Bidder during bidding and in no way relieves the Bidder from fully <br /> reading and taking into account all Contract Documents when preparing its Bid. <br /> The undersigned Bidder also hereby certifies that, within the three-year period immediately preceding the bid <br /> solicitation date for this Project,the bidder has not been determined by a final and binding citation and notice <br /> of assessment issued by the department of labor and industries or through a civil judgment entered by a court <br /> of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of <br /> chapter 49.46,49.48, or 49.52 RCW. I certify(or declare)under penalty of perjury under the laws of the <br /> State of Washington that the foregoing sentence is true and correct. <br /> Name of nn <br /> Bidder: cz <br /> p C P st <br /> State of Washington Contractor's License <br /> No. V.I—PL\ CA\oy?' <br /> Signature .. "4 '.e • uthorized <br /> Agent: <br /> City Where Signed: R tNi <br /> Email Address of Bidder's Authorized Agent: GS PA K1L15tZLPL Pi• Co M <br /> Jackson Park Area Stormwater Separation Division P—PROPOSAL September 2020 <br /> Work Order No.—UP3703 SP—18 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />