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I <br /> CITY OF EVERETT SPECIAL PROVISIONS <br /> CITY OF EVERETT I <br /> DISADVANTAGED/MINOR ITY/WOM ENS BUSINESS ENTERPRISE CERTI FICATION <br /> 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 and suppliers as a condition to qualify for award <br /> of Contract. Failure to solicit subcontract bids from DBE or WBE subcontractors and suppliers and list <br /> them on this form 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 with the names and <br /> addresses of all DBE and WBE subcontractors actually awarded subcontracts and performing Work under the <br /> Contract. In the event that a subcontract hid is solicited and listed below and a subcontract is not awarded to <br /> the DBE WBE so listed,Contractor shall state the reasons such subcontract was not awarded to the DBE/WBE <br /> and shall provide the DI3E/WBE quote together with the actual subcontract price paid and the name of the <br /> Subcontractor to whom 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 I <br /> MCAl Yb ? * W16100 I'Oitdr 1)i t k-rutsun 9 re T ctcc c Con+-rai <br /> suitQ 1Ilt-224- Sea4-4le,WA `Ithi I <br /> I <br /> I <br /> tl_ Please estimate the percentage of Work that will be subcontracted to DBE's and WBH's subcontractor <br /> and/or suppliers: 'l I <br /> III. Bidder certifies that it actively solicits employment of minority group members. Please estimate the <br /> percentage of Bidders' force on this Project that will he made up of minority group members: <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND I <br /> BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION REQUESTED BY THE CITY <br /> REGARDING DBE/WBE SUBCONTRACT WORK. <br /> Signature:_, � 0e,_.,,L,„5- � Date: 5 I 31 O222- 1 <br /> Water Main Replacement "W" Division P-PROPOSAL April,2022 I <br /> WO No. .UP3766 SP-22 <br /> I <br />