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I <br /> CITY OF EVERETT SPECIAL PROVISIONS [Modified per Addendum#3] <br /> PROPOSAL SIGNATURE SHEET <br /> The undersigned Bidder understands that the quantities mentioned herein are approximate only and are subject I <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. I <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 /> D tnnL Smpstm,Jr. Tresidenk 155os 1pLp+v) Avt km, nwa ,I,u1 1 'l12 <br /> I <br /> Bidder acknowledges receipt of Addenda j through 3 I <br /> Bidder has reviewed the insurance provisions of the Contract and hereby certifies that coverage will be <br /> provided as required. X Yes No <br /> In preparing this Bid, Bidder is especially directed to consider 1-07.1(1)NOISE, 1-07.23(1) <br /> CONSTRUCTION UNDER TRAFFIC, 1-08.4(2) SPECIAL CONSTRUCTION CONSTRAINTS, I <br /> which contains information that must be taken into consideration when preparing this bid. This notice is <br /> only a convenience to the Bidder during bidding and in no way relieves the Bidder from fully reading and <br /> taking into account all Contract Documents when preparing its Bid. I <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 <br /> notice of assessment issued by the department of labor and industries or through a civil judgment entered by <br /> a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082,any <br /> provision of chapter 49.46, 49.48, or 49.52 RCW. The undersigned hereby declares under penalty of perjury <br /> under the laws of the State of Washington that the foregoing sentence is true and correct. <br /> Name of <br /> Bidder: Qui\ '(WA aCza+i on, T.-I-v <br /> State of Washington Contractor's License <br /> No. 6RUtLCEES3(p16 ) I <br /> Signature of Bidder's Authorized Agent: <br /> City and State Where Signed: gk,Yl3otbl, u* I <br /> Email Address of Bidder's Authorized Agent: °M Ce&pill I ccciainc.Men <br /> I <br /> This email address may be used by the City to provide notice of any kind to the Bidder. A notice is <br /> considered delivered to the Bidder on the date it is emailed to the email address. I <br /> Dated at: kk-ot n1A1ood , UW Date: 513j 20r2f2- <br /> I <br /> Water Main Replacement "W" Division P-PROPOSAL April,2022 <br /> WO No. -UP3766 SP-20 I <br />