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City of Everett 00 45 39 - 2 <br />Port Gardner Storage Facility – Facility Construction Package WO# UP-3525 <br />00 45 39 - 2 RCW 35.22.650 CERTIFICATION <br />Minority Business <br />Name Address Goods or <br />Services Involved <br />Certification <br />Number* <br />*Certification numbers (for MBE, MWBE, DBE, etc.) are found at Office of Minority & Women's <br />Business Enterprises: https://omwbe.diversitycompliance.com/FrontEnd/SearchCertifiedDirectory.asp. <br />If a minority business does not have a certification number, the Bidder must provide with this <br />certification form evidence that the business is at least fifty-one percent owned by minority <br />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 MINORITY BUSINESS SUBCONTRACTS AND EMPLOYMENT OF <br />MINORITY GROUP MEMBERS. <br />Signature: ___________________________________ Date: __________________ <br />END OF SECTION 00 45 39