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I <br /> I <br /> CITY OF EVERETT SPECIAL PROVISIONS <br /> I <br /> CITY OF EVERETT <br /> DISADVANTAGED/WOMEN'S BUSINESS ENTERPRISE I <br /> Although a set percentage of DBE's and WBE's subcontracts is not required in the performance of the Work <br /> under this Contract, in the event that Subcontractors will be used in the performance of this Contract, Bidder <br /> is required to solicit bids from DBE and WBE subcontractors as a condition to qualify for award of Contract. I <br /> Failure to solicit subcontract bids from DBE or WBE subcontractors and list on this form shall <br /> disqualify a contract Bidder from consideration from contract award. During contract performance, or <br /> in any event prior to final payment,Bidder shall provide the City with the names and addresses of all DBE and <br /> WBE subcontractors actually awarded subcontracts and performing Work under the Contract. In the event I <br /> that a subcontract bid 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 and shall state the <br /> DBE/WBE quote together with the actual subcontract price paid and the name of the Subcontractor to whom <br /> the Work was subsequently awarded. I <br /> I. List all DBE and WBE subcontractors and suppliers from which bids or quotes for Work on this Project <br /> have been solicited: I <br /> Name of Firm Address Work Involved <br /> I <br /> SQQ o\o`ch e <br /> I <br /> I <br /> 11. Please estimate the percentage of Work that will be subcontracted to DBE's and WBE's subcontractor <br /> and/or suppliers: 3°it I <br /> III. Please estimate the percentage of your force on this Project that will be made up of minority group <br /> members: 9 96 I <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLELE TO THE BEST OF MY KNOWLEDGE AND ' <br /> BELIEF AND AGREE TO PROVIDE ALL ABOV ,FORMATION REQUESTED BY THE CITY <br /> REGARDING DBE/WBE SUBCONTRACT WORK <br /> Signature: �� L Date: �1)Z..---1 Z I <br /> �� J <br /> ._ i <br /> i ►� CAS) "We sldtn 4 I <br /> I <br /> Water Main Replacement"V" Division P—PROPOSAL April,2021 <br /> Work Order No.—UP3730 SP-22 <br /> I <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />