American Process Group LLC 10/31/2023

City of Everett 00 4113 - 4 2024 WPCF Biosolids Removal UT 3826-2 00 4113 - 4 BID FORM 1.7 DESIGNATED/AUTHORIZED REPRESENTATIVE A. Bidder designates ____________________________________ of its office to which notice of acceptance of this Bid may be mailed, emailed or delivered. B. City may provide notice of any kind to the Bidder using the email address Bidder provides below. 1. A notice is considered delivered to the Bidder on the date it is emailed to the email address. 1.8 INTERESTED PARTIES A. The full names and residences of all persons and parties interested in this Bid as principals are as follows: NAME TITLE ADDRESS _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ 1.9 BID FORM SIGNATURES A. By submitting this Bid, Bidder certifies that it has reviewed the insurance requirements of Document 00 7200 – GENERAL CONDITIONS and certifies that coverage will be provided as required. B. The undersigned also hereby certifies that, within the three-year period immediately preceding the bid solicitation date for this Project, the Bidder has not been determined by a final and binding citation and notice of assessment issued by the department of labor and industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of chapter 49.46, 49.48, or 49.52 RCW. The undersigned declares under penalty of perjury under the laws of the State of Washington that the foregoing sentence is true and correct. Signed this ___________ day of _______________________, 2022 Name of Bidder: _________________________________________ Signature of Bidder’s Authorized Agent: _______________________