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IV. List all minority businesses from whom bids or quotes for goods or services on this <br /> Project have been solicited (attach additional sheet if necessary): <br /> Goods or <br /> Minority Address Services Certification <br /> Business Name Involved Number* <br /> Advanced Government 8644 PACIFIC AVENUE <br /> Services,Inc Tacoma,WA 98444 Traffic Control D4Foo24875 <br /> 2507 Mile Hill Dr#1o6 <br /> BC Traffic,LLC <br /> PORT ORCHARD,WA 98366 Traffic Control D4Mooii474 <br /> 817 North 6th Street,Suite B, <br /> Electric West Inc. Mount Vernon,WA 98273 Electrical DSMooioi52 <br /> 22434 WA-534 <br /> Solectric LLC Mount Vernon,WA 98274 Electrical D1Foo24657 <br /> 8o4i South 228th Street, <br /> Sundancer Electric STE#ioi Kent,WA 98032 <br /> Electrical DiMoo226o7 <br /> *Certification numbers (for MBE, MWBE, DBE, etc.)are found at Office of Minority&Women's <br /> Business Enterprises: https://omwbe.diversitycompliance.com/FrontEnd/SearchCertifiedDirectory.asp. <br /> If a minority business does not have a certification number, the Bidder must provide with this <br /> certification form evidence that the business is at least fifty-one percent owned by minority group <br /> members. <br /> During Contract performance, or in any event prior to final payment, Bidder shall provide the <br /> City with the names and addresses of all minority businesses actuallyawarded subcontracts <br /> under the Contract. In the event that a subcontract bid or quote is slicited and listed above <br /> and a subcontract is not awarded to the minority business so listed, Contractor shall state the <br /> reasons such subcontract was not awarded to the minority business and shall provide the <br /> minority business quote together with the actual subcontract price paid and the name of the <br /> subcontractor to whom the subcontract was subsequently awarded. <br /> FAILURE TO PROPERLY COMPLETE AND SUBMIT THIS CERTIFICATION FORM WITH <br /> THE BID WILL RESULT IN REJECTION OF BID. THE BIDDER CERTIFIES UNDER <br /> PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE <br /> ABOVE IS TRUE AND COMPLETE CORRECT TO THE BEST OF ITS KNOWLEDGE AND <br /> BELIEF AND FURTHER AGREES TO PROVIDE INFORMATION AS REQUESTED BY THE <br /> CITY REGARDING MINORITY BUSINESS SUBCONTRACTS AND EMPLOYMENT OF <br /> MINORITY GROUP MEMB S. <br /> Signature: Date: 03/21/2023 <br /> Andy Reece,President <br /> 2023 PAVEMENT MAINTENANCE OVERLAY <br /> WO#3789 February 14,2023 90 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />