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• <br /> • <br /> CITY OF EVERETT PUBLIC WORKS 00 41 13 <br /> SPECIAL PROVISIONS BID FORM - STIPULATED SUM <br /> (SINGLE-PRIME CONTRACT) <br /> 1.9 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 <br /> provided as required. <br /> Signed this day of ,201_ <br /> Name of Bidder: <br /> Signature of Bidder's Authorized Agent: <br /> Title: <br /> Phone: <br /> State of Incorporation Contractor's License No. <br /> Washington State <br /> B. Email address of Bidder's Authorized Agent: <br /> END OF DOCUMENT 00 41 13 <br /> Legion Golf Course Stormwater Detention Project December 28,2017 <br /> WO#UP3620 00 41 13 - 8 <br />