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<br />Page 21 of 43 <br />FORM 3.01 CONTRACTOR COMMITMENT AND INFORMATION <br />INVITATION FOR BID #2022-047 UNIT PRICE HVAC SERVICES AND REPAIRS <br /> Company Name: <br />Company Address: <br />City: State: ZIP: <br />Federal Tax ID #: UBI#: Contractor’s License # <br />Legal status of Contractor organization: ☐ Individual ☐ Partnership ☐ Corporation ☐ Joint Venture <br />Diversity Certification (if applicable): ☐ Disadvantaged Business Enterprise (DBE) ☐ Minority Business Enterprise (MBE) ☐ Women Business <br />Enterprise (WBE) ☐ Minority Women Business Enterprise (MWBE) Certification number: <br />Employment Security # City of Everett Business License # <br />Contractor Contact Name (if different from Authorizing Official): Contractor Contact Title: <br />Contractor Contact Email: Contractor Contact Direct Phone: <br />Contractor Contact Address (If different from above): <br />City: State: ZIP: <br />By responding to this solicitation, the Contractor understands and agrees to be bound by all requirements and contract terms and conditions contained in <br />this solicitation. By signing this form, the Contractor acknowledges receipt and understanding of any and all addenda issued for this solicitation. This <br />form, signed by an individual authorized to legally commit the Contractor. <br />The Contractor also certifies that: <br />• I am authorized to commit my firm to this bid and that the information herein is valid for 60 days from this date. <br />• That all information presented herein is accurate and complete and that the specifications can be performed as presented in this bid upon the <br />City’s request. <br />• That I have had an opportunity to ask questions regarding this bid and that those questions have been answered. <br />• That this bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting an offer for this <br />bid and is in all respects fair and without collusion or fraud <br />This form may be signed by ink signature, copy of ink signature, copy of signature, e-signature, or any other form of signature. <br />By submitting this, the bidder agrees that its signature will have the same legal effect as an original ink signature. <br />Authorizing Official Name: Authorizing Official Title: <br />Authorizing Official Email: Authorizing Official Phone: <br />Authorizing Official Signature & Date: <br />