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City of Everett 00 4113 - 4 <br /> <br /> <br />Bid Form <br />004113-4 202082-10 May 2024 <br />pw://Carollo/Documents/WA/Everett/202082-100000/04 Design/04 Specs/Carollo/004113 (FS-100) <br /> <br />BIDDER CERTIFICATIONS <br />Bidder, at the time of submitting this Bid and throughout the period of the contract, will remain <br />licensed by the state of Washington to perform the type of work required under the Contract <br />Documents. <br />Bidder is skilled and regularly engaged in the general class and type of work required by the <br />Contract Documents and has the capability to successfully manage construction projects. <br />Bidder agrees to provide upon written request of the City all information related to its qualifications <br />and those of its key personnel and its proposed Subcontractors. <br />Bidder certifies that its Bid is in all respects fair, and is made without collusion on the part of any <br />person, firm, or corporation mentioned below, and that no officer or employee of the City is <br />personally or financially interested, directly or indirectly, in the Bid, or in any purposes of, or the <br />sale of, any materials or supplies for the work to which it relates, or any portion of the profits <br />thereof. <br />DESIGNATED/AUTHORIZED REPRESENTATIVE <br />Bidder designates ____________________________________ of its office to which notice of <br />acceptance of this Bid may be mailed, emailed or delivered. <br />City may provide notice of any kind to the Bidder using the email address Bidder provides below. <br />1. A notice is considered delivered to the Bidder on the date it is emailed to the email <br />address. <br />INTERESTED PARTIES <br />The full names and residences of all persons and parties interested in this Bid as principals are <br />as follows: <br />NAME TITLE ADDRESS <br />_______________________________________________________________ <br />_______________________________________________________________ <br />_______________________________________________________________ <br />BID FORM SIGNATURES <br />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 provided as <br />required. <br />The undersigned also hereby certifies that, within the three-year period immediately preceding <br />the bid solicitation date for this Project, the Bidder has not been determined by a final and binding <br />citation and notice of assessment issued by the department of labor and industries or through a <br />civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as <br />defined in RCW 49.48.082, any provision of chapter 49.46, 49.48, or 49.52 RCW. The