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Attachment One, page 4 of 4
<br /> PROPOSED REVISION • ' •
<br /> Addendum 111
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<br /> . Local Agency Disadvantaged Business
<br /> Enterprise Utilization Certification t
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<br /> • To he eligthie for award of this contract the bidder must fill out and submit,as pmt of its bid proposal,the following Disadvantaged '•
<br /> Business Enterprise Uiillzaliort Certification relating to Disadvantaged Business Enterprise(DBE)requirements,The Contrasting Agency t
<br /> shall consider es non-responsive and shalt reject any bid propdsai that does not contain a DBE Certification which properly
<br /> • ' demonstrates that the bidder will meet the DBE participation requirements in ono of the manners provided for In the proposed contract. z•
<br /> The Ridder must submit good faith effort documentation on!),In Ora evarKthe bidder's efforts to solicitsufllclent DBE participation has
<br /> been unsuccessful.The successful bidder's Disadvantage Business Enterprise Utilization Certihcalion shall be deemed a part of the
<br /> resulting contract.Information en certified Fans is available from OMWBE online at http Uthnwbe.wa,gov/directory-of-certifled4irmst
<br /> �n
<br /> dri ____________S tRX)Pp) 1 f 1C_ certifies that the Disadvantaged Business Enterprise(DBE)
<br /> (Box o(elddor
<br /> Firms listed below have been contacted regarding participation on this project if this bidder fs successful on this project and fs awarded l:
<br /> the contract,it shalt assure that subcontracts or supply agreements are executed with those fimts where an"Amount to be Applied
<br /> Towards Goal"is listed.(If ngcessary,use additional sheet.) •
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<br /> tLLt _ €17M-64-C144
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<br /> Disadvantaged Business Enterprise Subrantrge h Goat /0,-711D DBE Total$ `G ((I�t, n P
<br /> • BOz2 Box tr
<br /> ` Regular Dealer status must be approved puerto bid s r initial by Pio epics of Equal Opportunity,Wash•Slate Dept.OITVansportmlon,on each I
<br /> contract,
<br /> I.
<br /> .r. Soo Uta section'Credilhrg DBE Participation Toward hieeitnp Ura Goer In the Contract Document. N Co`p`-1:
<br /> '"The ContracUng Agency will utilize Oils amount le determine whether ornOi the bidder has net(he gala(ho event pf•an arithpieticdlfference 44
<br /> between lhis total and the sum of tha Indivlduat amounts listed shove,then Uta sum of the amounts listed strati prevail and the misty/III be revised t,
<br /> accordingly. Participation In excess 011ie goal entauntwill ha considered votuntsry armee-neutral panidpatlon.
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<br /> 1012015
<br /> V. Wevisaa. ie -Prrop.0 4, 414 0,e- xYki ssfa
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<br /> Provided to Builders Exchange or WA, Xnc. For usage Conditions ,Agreement von wuw.bxwa.corr - P.1a:aye Verity Gonia .r
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