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CITY OF EVERETT <br /> DISADVANTAGED/WOMEN'S BUSINESS ENTERPRISE <br /> Although a set percentage of DBE's and WBE's subcontracts is not required in the performance of the work <br /> under this Contract, in the event that subcontractors will be used in the performance of this Contract, Bidder <br /> is required to solicit bids from DBE and WBE subcontractors as a condition to qualify for award of contract. <br /> Failure to solicit subcontract bids from DBE or WBE subcontractors shall disqualify a contract <br /> Bidder from consideration from contract award. During Contract performance, or in any event prior to <br /> final payment, Bidder shall provide the City with the names and addresses of all DBE and WI3E <br /> subcontractors actually awarded subcontracts and performing work under the contract. In the event that a <br /> subcontract bid is solicited and listed below and a subcontract is not awarded to the DBE/WBE so listed, <br /> Contractor shall state the reasons such subcontract was not awarded to the DBR/WBE and shall state the <br /> DBE/WBE quote together with the actual subcontract price paid and the name of the subcontractor to whom <br /> the work was subsequently awarded. <br /> I. List all DBE and WBE subcontractors and suppliers from which bids or quotes for work on this <br /> project have been solicited: <br /> Name of Firm Address Work Involved <br /> nciin2 CAM. SeAv..ice,c - 1°l0 S. 34 al Feaeto1 wc Wk - Supply CravIP. <br /> extlima Covticshrut orl.__.."' S'3y1 P.ave,wG1/4kw... 146 ural- 1 ,Se�.�llt-wg= ,� vie..._ <br /> (YloN fie1Q S _Sk_NkieilistA (.. — Lib3O 2oO*1 ST. .W. SIi1 P, LYnwoo"i,VI A"f,jpply._C(a. , <br /> II. Please estimate the percentage of work that will be subcontracted to DBE's and WBE's subcontractor <br /> and/or suppliers: 5/ <br /> III. Please estimate the percentage of your force on this project that will be made up of minority group <br /> members: as Z <br /> I CERTIFY THAT THE ABOVE 1S TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE <br /> AND BELIEF ANI) AGREE TO PROVIDE ALL ABOVE INFORMATION REQUESTED BY THE CITY <br /> REGARDING DBE/WBE SUBCONTRACT WORK. <br /> Signature: ' ' C C __-.. Date: . 0,1 aa!6 <br /> 2016 13iosolids Removal DIVISION P. P-7 December I.2015 <br /> WORK ORDER#2600-4-1 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scale <br />