2004/12/08 Council Agenda Packet

C The bidder certifies acknowledgement that a DBE aspirational goal of 2%of the total dollar amount of the contract has been established. The bidder hereby assures that DBEs will be afforded an opportunity to participate in this contract, or provide appropriate documentation that good faith efforts have been made to afford this opportunity. The undersigned certifies that the company is aware of and will comply with all applicable Federal and State statutes and regulations concerning DBE participation in the City of Everett's program, as well as all resolutions and regulations promulgated by the City of Everett which are incorporated herein by this reference. We agree to submit such data as is required by the City of Everett for award of contract. COMPANY NAME PRINCIPAL'S SIGNATURE PRINCIPAL'S TITLE DATE DISADVANTAGED BUSINESS ENTERPRISE CERTIFICATION To be eligible for contract award,the bidder must insure that good faith efforts have been made to afford DBEs the opportunity to participate in this contract. Bidders shall execute and submit with their bids the following DBE certification. This certification shall be deemed a part of the resulting contract. Failure to complete and submit this certification or the inclusion of a false certification may render the bid non-responsive. certifies that the following DBE(s) have been contacted and, if deemed the successful bidder, shall award subcontract(s)to the following DBEs. Signature of the DBE representative confirms DBE contract participation. DBE NAME/ADDRESS/SIGNATURE/DESCRIPTION OF WORK//0 OF WORK/REPRESENTATIVE 1. 2. 1 / SCOPE OF SERVICES,PAGE 14 OF 17