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City of Everett 004113- 6 <br /> Water Filter Plant Portal 4 Improvements WO# 3755 <br /> C. Bidder agrees to provide upon written request of the City all information related to its <br /> qualifications and those of its key personnel and its proposed Subcontractors. <br /> D. Bidder certifies that its Bid is in all respects fair, and is made without collusion on the part <br /> of any person, firm, or corporation mentioned below, and that no officer or employee of <br /> the City is personally or financially interested, directly or indirectly, in the Bid, or in any <br /> purposes of, or the sale of, any materials or supplies for the work to which it relates, or <br /> any portion of the profits thereof. I <br /> 1.12 DESIGNATED/AUTHORIZED REPRESENTATIVE <br /> A. Bidder designates Tyler Kimberley- President / CEO of its office to which <br /> notice of acceptance of this Bid may be mailed, emailed or delivered. <br /> B. City may provide notice of any kind to the Bidder using the email address Bidder provides , <br /> below. <br /> A notice is considered delivered to the Bidder on the date it is emailed to the email address. <br /> 1.13 INTERESTED PARTIES <br /> A. The full names and residences of all persons and parties interested in this Bid as I <br /> principals are as follows: <br /> B. NAME TITLE ADDRESS 1 <br /> C Frank Imhof Chairman of the Board 2116 Buchanan Loop, Ferndale, WA 98248 <br /> Tyler Kimberley President/CEO 2116 Buchanan Loop, Ferndale, WA 98248 <br /> D. <br /> Patti Imhof Treasurer 2116 Buchanan Loop, Ferndale, WA 98248 <br /> E. <br /> Ashley Kimberley Corporate Secretary 2116 Buchanan Loop, Ferndale, WA 98248 <br /> 1.14 BID FORM SIGNATURES <br /> A. By submitting this Bid, Bidder certifies that it has reviewed the insurance requirements of <br /> Document 00 7200—GENERAL CONDITIONS and certifies that coverage will be <br /> provided as required. I <br /> B. The undersigned also hereby certifies that, within the three-year period immediately <br /> preceding the bid solicitation date for this Project, the Bidder has not been determined <br /> by a final and binding citation and notice of assessment issued by the department of <br /> labor and industries or through a civil judgment entered by a court of limited or general <br /> jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of <br /> chapter 49.46, 49.48, or 49.52 RCW. The undersigned declares under penalty of <br /> perjury under the laws of the State of Washington that the foregoing sentence is true <br /> and correct. <br /> 1 <br /> I <br /> 00 41 13 - 6 BID FORM (Addendum 1) <br /> I <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />