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CITY OF EVERETT SPECIAL PROVISIONS <br /> CITY OF EVERET'I' <br /> DISADVANTAGED/WOMEN'S BUSINESS ENTERPRISE <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. <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 <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 provide 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. <br /> I. List all DBE and WBE subcontractors and suppliers from which bids or quotes for Work on this Project <br /> have been solicited: <br /> Name of Firm Address Work Involved <br /> Guzman Trucking, Inc. 2833 104th PL SE Everett, WA 98208 Trucking <br /> OMA Construction, Inc. PO Box 3705 Seattle, WA 98124 Trucking <br /> If. Please estimate the percentage of Work that will he subcontracted to DBE's and WBE's subcontractor <br /> and/or suppliers: 3% <br /> III. Please estimate the percentage of your force on this Project that will be made up of minority group <br /> members: 10% <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND <br /> BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION REQUESTED BY THE CITY <br /> REGARDING DBE/WBE SUBCONTRACT WORK. <br /> Signature: Date: April 26, 2022 <br /> Shore Avenue Force Main Division P—PROPOSAL February 24,2022 <br /> Work Order No.—UP3734 SP—9 <br /> ovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />