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CITY OF EVERETT PUBLIC WORKS <br /> SPECIAL PROVISIONS <br /> The prospective lower tier participant certifies, by submission of this proposal or contract,that neither it nor <br /> its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily <br /> excluded from participation in this transaction by any Federal department or agency. Where the prospective <br /> lower tier participant is unable to certify to any of the statements in this certification, such prospective <br /> participant shall attach an explanation to this form. <br /> Bidder or Contractor Signature: . r/ _ Date;January 31, 2017 <br /> Print Name and Title: _ Matt Vernon, President <br /> WFP Operations Building Seismic Retrofit Rebid January 6,2017 <br /> WO#UP3600 004556-3 <br /> rovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />