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CITY OF EVERETT PUBLIC WORKS 00 41 13 <br /> SPECIAL PROVISIONS BID FORM-STIPULATED SUM <br /> (SINGLE-PRIME CONTRACT) <br /> L9 BID FORM SIGNATURES <br /> A. By submitting this Bid, Bidder certifies that it has reviewed the insurance requirements of <br /> Document 00 72 13 - General Conditions and certifies that coverage will be provided as <br /> required. <br /> Signed this 8th day of August ,2017 <br /> Name of Bidder: Les MCCIur: <br /> Signature of Bidder's Authorized A:: <br /> 4 f j//) <br /> • <br /> Title: President <br /> Phone: 425-316-6999 <br /> Washington MCCLUSI101 MJ <br /> State of Incorporation Contractor's License No. <br /> Washington State <br /> Email address of Bidder's Authorized Agent: bids@mcclureandsons.com or <br /> les@mcclureandsons.com <br /> END OF DOCUMENT ' <br /> I <br /> THREE LAKES VALVE BYPASS July 19, 2017 , <br /> WO#UP3611 00 41 13 -4 <br />