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CITY OF EVERETT PUBLIC WORKS 00 45 39 <br /> SPECIAL PROVISIONS MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> DOCUMENT 00 45 39—MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> 1.1 GENERAL <br /> ' A. Bidder shall fill out affidavit below, sign, and include with Bid. <br /> B. 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 /> condition to qualify for award of contract. <br /> ' C. Failure to solicit subcontract bids from DBE or WBE subcontractors or failure to list <br /> them below shall disqualify a contract Bidder from consideration for contract award. <br /> D. During Contract performance, or in any event prior to final payment, Bidder shall provide the <br /> City with the names and addresses of all DBE and WBE subcontractors actually awarded <br /> subcontracts and performing work under the contract. <br /> E. In the event that a subcontract bid is solicited and listed below and a subcontract is not awarded <br /> to the DBE/WBE so listed, Contractor shall state the reasons such subcontract was not awarded <br /> to the DBRJWBE and shall state the DBE/WBE quote together with the actual subcontract price <br /> paid and the name of the subcontractor to whom the work was subsequently awarded. <br /> F. 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 /> ' Puget Sound Steel Kent, WA Rebar <br /> SEA Technology Const. Seattle, WA Metal Fabrication <br /> Jabez Holding/ST Fabrication Orting, WA Metal Fabrication <br /> The Rodriguez Group Portland, OR Paintings/Coatings <br /> Mason coatings University Place, WA Paintings/Coatings <br /> ' 1. Please estimate the percentage of work that will be subcontracted to DBE's and WBE's <br /> subcontractor and/or suppliers: 3 <br /> 2. Please estimate the percentage of your force on this project that will be made up of <br /> ' minority group members: r <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY <br /> KNOWLEDGE AND BEEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION <br /> REQUESTED BY TH CI Y REGA' i G DBE/WBE SUBCONTRACT WORK. <br /> 2 <br /> Signature: Date: 8/8/17 <br /> ' es Tc r_, 'r:si•-n <br /> END OF DOCUMENT <br /> THREE LAKES VALVE BYPASS July 19,2017 <br /> WO#UP36I1 00 45 39 - 1 <br />