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I <br /> City of Everett 00 4539 - 1 <br /> 1 2021 Trickling Filter Media Replacement UP 3742-3 <br /> I <br /> SECTION 00 4539 - MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> I Although a set percentage of DBE's and WBE's subcontracts is not required in the <br /> performance of the work under 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 /> I 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 /> I 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 DBE/WBE <br /> I <br /> and shall state the DBE/WBE quote together with the actual subcontract price paid and <br /> the name of the subcontractor to whom the work was subsequently awarded. <br /> I I. List all DBE and WBE subcontractors and suppliers from which bids or quotes for <br /> work on this project have been solicited: <br /> I Name of Firm Address Work Involved <br /> Mayfield Hoisting Lynnwood, WA Crane Services <br /> IMason Coatings University Place, WA Painting/ Coatings <br /> The Rodriguez Corp. Portland , OR Painting/Coatings <br /> I I n d u s t r Y Erectors Snohomish, WA Crane Services <br /> I II. Please estimate the of work that will be subcontracted to DBE's and <br /> percentage <br /> WBE's subcontractor and/or suppliers: /`{ Y %- <br /> IIII. Please estimate the percentage of your force on this project that will be made up <br /> of minority group members: 9% <br /> I <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 /> IREQUESTED BY THE CITY REGARDING DBE/WBE SUBCONTRACT WORK. <br /> ISignature: \ , , k Date: 5/4/2021 <br /> I <br /> 00 4539 - 1 MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br />