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Section 00 45 39 MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> 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 /> Minority Business Goods or Certification ' <br /> Name Address Services Number1 <br /> Involved <br /> Sea Technology Construction Q saba laver St.Seattle Misc, Metals M5M0023421 <br /> Hot Mix Pavers 4V,4A9 Ssa131st PI.Tukwila Asphalt Paving M 1 M0004562 <br /> Higrade Asphalt&Sealcoat I t3 Meridian Ave.E. Asphalt Paving ' <br /> Edgewood,WA 98371 M5F0021914 <br /> Builder Gorilla 5022 Elm St. <br /> Everett WA 98203 Demolition M450028010 <br /> Vanguard Excavating 16750 Wales St.SE ' <br /> Monroe,WA 98272 Trucking M4M0027262 <br /> Note: <br /> 1) Certification numbers (for MBE, MWBE, DBE, etc.) are found at Office of <br /> Minority&Women's Business Enterprises: <br /> https://omwbe.diversitycomptiance.com/FrontEnd/SearchCertifiedDirectory.asp. If a minority <br /> business does not have a certification number,the Bidder must provide with <br /> this certification form evidence that the business is at least fifty-one percent <br /> owned by minority group 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 actually awarded subcontracts ' <br /> under the Contract. In the event that a subcontract bid or quote is solicited and listed above and <br /> 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 MINORI7 BUSINESS SUBCONTRACTS AND EMPLOYMENT OF <br /> MINORITY GROUP MEM ERS. <br /> Signature: " Date: 3/7/23 <br /> END OF SECTION 00 45 39 <br /> City of Everett 00 45 39-2 February 2023 <br /> WPCF TF1 Bar Screen Upgrades <br /> UP3770 <br />