Thomco Construction Inc. 6/14/2021

I I CITY OF EVERETT SPECIAL PROVISIONS PROPOSAL SIGNATURE SHEET The undersigned Bidder understands that the quantities mentioned herein are approximate only and are subject I to increase or decrease, and hereby proposes to perform all quantities of Work as either increased or decreased in accordance with the provisions of the Contract Documents and at the unit prices bid in the Bid Schedule, unless such schedule designates lump sum bids, or force account items. The full names and residences of all persons and parties interested in the foregoing Bid as principals are as follows: Name ' ' Title Address I �\r!c�T1 n�.cn c",S0. c►rrA-t u.i.5 I_,,a --51.oma3 eca;\- y re .c&t" Lakt \--RA)..eA5 i Bidder acknowledges receipt of Addenda I through I I Bidder has reviewed the third party liability insurance provisions of the Contract and hereby certifies that coverage will be provided as required. ?.."---Yes No I In preparing this Bid, Bidder is especially directed to consider 1-07.1(1) NOISE, 1-07.23(1) CONSTRUCTION UNDER TRAFFIC, 1-08.4(2) SPECIAL CONSTRUCTION CONSTRAINTS, I which contains information that must be taken into consideration when preparing this bid. This notice is only a convenience to the Bidder during bidding and in no way relieves the Bidder from fully reading and taking into account all Contract Documents when preparing its Bid. The undersigned Bidder also hereby certifies that, within the three-year period immediately preceding the bid I solicitation date for this Project,the bidder has not been determined by a final and binding c'tatiorl and notice of assessment issued by the department of labor and industries or through a civil judgme ante e�'by a court I of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48 6 ., provision of chapter 49.46, 49.48, or 49.52 RCW. I declare under penalty of perjury under the laws.o tl ,State of Washington that the foregoing sentence is true and correct. z{ Name o Ih0�1C� C.c �fiVU�, 1 f\(' Bidder: j `�_ l,. State of Wash`inc ton Contractor' License I No. �'1 C.C111 ZAV:2— Signature of Bidder's Authorized Agent:,-4D2 NN S 1 City and State Where Signed: LIAR_ ` \-tJ f i f sk► k-L� Email Address of Bidder's Authorized Agent: d,U tk"1'o,,„s@-„, i c t US I This email address may be used by the City to provide notice of any kind to the Bidder. A notice is I considered delivered to the Bidder on the date it is emailed to the email address. Dated at: Lat S* .. n.S, Vm(As i,cgV1LJr _I Date: 2-7 ZI Water Main Replacement"V" Division P—PROPOSAL April,2021 Work Order No.—UP3730 SP-20 I Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal