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I <br /> CITY OF EVERETT <br /> IDISADVANTAGED/WOMEN'S BUSINESS ENTERPRISE <br /> I Although a set percentage of DBE's and WBE's subcontracts is not required in the performance <br /> of the Work under this Contract, in the event that Subcontractors will be used in the performance <br /> of this Contract, Bidder is required to solicit bids from DBE and WBE subcontractors as a <br /> I condition to qualify for award of Contract. Failure to solicit subcontract bids from DBE or <br /> WBE subcontractors and list on this form shall disqualify a contract Bidder from <br /> consideration from contract award. During contract performance, or in any event prior to final <br /> payment, Bidder shall provide the City with the names and addresses of all DBE and WBE <br /> I subcontractors actually awarded subcontracts and performing Work under the Contract. In the <br /> event that a subcontract bid is solicited and listed below and a subcontract is not awarded to the <br /> DBE/WBE so listed. Contractor shall state the reasons such subcontract was not awarded to the <br /> I DBR/WBE and shall state the DBE/WBE quote together with the actual subcontract price paid <br /> and the name of the Subcontractor to whom the Work was subsequently awarded. <br /> I. List all DBE and WBE subcontractors and suppliers from which bids or quotes for Work <br /> Ion this Project have been solicited: <br /> Name of Firm Address Work <br /> Involved <br /> I ��< 10,;,L¢ u \ R u Vel�r t, <br /> ��Lu� �'i2��. 23'7 DG 5� Z� 1 � {r�PE.-� y� !� <br /> °,0(j'N NE- 1C,tt1t1. 0, 0, L€c�pl.cP,t- <br /> I {Q�. L—acr 1\\21-1 V11--1-f-y P\4 E. Vuip‘LIA9,Vi€17 E2Gsiao C6riVIDt.I _ <br /> },61- (`N-g ?fa lvis 1- <br /> 1r-18cl S \-5 ST p -I'i,,e�,t ,‘,4 rN P\sj L'V Q%,\1,0c <br /> ili II. Please estimate the percentage of Work that will be subcontracted to DBE's and WBE's <br /> subcontractor and/or suppliers: Liss ¶ M _ <br /> IIII. Please estimate the percentage of your force on this Project that will be made up of <br /> minority group members: a 7, <br /> II CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY <br /> KNOWLEDGE AND BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION <br /> IREQUESTED BY THE CITY$rEGARDING DBE/WBE SUBCONTRACT WORK. <br /> Signature: i <br /> I`� /1 Date: 3-7- i 7 <br /> I <br /> I HAYES STREET REGULATOR February,2017 <br /> AND CSO CONTROLS(SRO1,SRO2, AND SRO3) <br /> WO No-UP3398-31 SP- 15 <br /> lige 23 Disadvantaged/Women's Business Enterprise <br /> ovided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com-Always Verify Scale <br />