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I <br /> CITY OF EVERETT SPECIAL PROVISIONS [Modified per Addendum#1; .. <br /> I <br /> _ CITY OF EVERETT • <br /> �� <br /> DISADVANTAGEDAVOMENT'S BUSINESS ENTERPRISE <br /> 1 . <br /> I 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 and list on this form shall <br /> I disqualify a contract Bidder from consideration from contract award. During contract performance, or <br /> in any event prior to final payment, Bidder shall provide the City with the names and addresses of all DBE <br /> and WBE subcontractors actually awarded subcontracts and performing Work under the Contract. In the <br /> I <br /> event that a subcontract bid is solicited and listed below and a subcontract is not awarded to the DBE/WBE <br /> so listed, Contractor shall state the reasons such subcontract was not awarded to the DBR/WBE and shall <br /> state the DBE/WBE quote together with the actual subcontract price paid and the name of the Subcontractor <br /> whom the Work was subsequently awarded. <br /> Ito <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 /> IName of Firm Address Work Involved <br /> icVj1.k CANA71- -, `/4.ec 33-1• °F1/1,-70 iii,AAAI fl i r I Qh�t d i��.- <br /> 'iid. <br /> I <br /> tOP I'. 224& <br /> 1 : /LLAC17( CJ S?'. �'C►/,}�xJ.vel 41.6,• U 2 v l I G�-�', / ft/✓.`A&11.4- <br /> I <br /> I <br /> II. Please estimate the percentage of Work that will be subcontracted to DBE's and WBE's <br /> subcontractor and/or suppliers: •51- <br /> ' III. Please estimate the percentage of your fo•ce on this Project that will be made up of minority group <br /> members: •1 <br /> 1 <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE <br /> AND BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION REQUESTED BY THE CITY <br /> I REGARDING DBE/WBE SUBCONTRACT WORK. <br /> i <br /> 11 l (;,)1 , /1: <br /> I Signature: T`-'0,;/� j i'[ Date: 5/3/16 <br /> t <br /> 1 <br /> I <br /> SEWER SYSTEM REPLACEMENT AND CAPACITY IMPROVEMENTS SEWER"M" PHASE II <br /> WO No.—UP3470-1O Division P—PROPOSAL April 2016 <br /> SP—21 <br /> Ided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com-Always Verify Scale <br />