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CITY OF EVERETT ' <br /> DISADVANTAGED/WOMEN'S BUSINESS ENTERPRISE <br /> 1 <br /> 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 shall disqualify a contract <br /> Bidder from consideration from contract award. During Contract performance, or in any event prior to <br /> final payment, Bidder shall provide the City with the names and addresses of all DBE and WBE <br /> subcontractors actually awarded subcontracts and performing work under the contract. In the event that a <br /> subcontract bid is solicited and listed below and a subcontract is not awarded to the DBE/WBE so listed, <br /> Contractor shall state the reasons such subcontract was not awarded to the DBR/WBE and shall state the <br /> DBE/WBE quote together with the actual subcontract price paid and the name of the subcontractor to whom <br /> the work was subsequently awarded. I <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 /> Name of Firm Address Work Involved <br /> G G k`. lbotilkse w.ASk-. Cuc.Al <br /> Ie,e. GAns4 uci( f ahvi �,p,vox 1531 " ysvCtLL <br /> 1 <br /> II. Please estimate the percentage of work that will be subcontracted to DBE's and WBE's subcontractor <br /> and/or suppliers: _7. $ %. , <br /> III. Please estimate the percentage of your force on this project that will be made up of minority group <br /> members: 51. <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 /> REGARDING DBE/WBE SUBCONTRACT WORK. <br /> 1 <br /> Signature: C Date: 4/11/17 <br /> TRAVIS WALKEN, CHIEF ESTIMATOR <br /> HOT MIX ASPHALT OVERLAY 2017 Page 7 of 11 MARCH 2017 <br /> WORK ORDER#PW 3642 <br /> DIVISION P <br /> Provided to Builders Exchange of WA, Inc,For usage,,Conditions Agreement see wwwbxwa;co.rn-Always Verify Scale <br />