SRV Construction Company 5/1/2018

I CITY OF EVERETT SPECIAL PROVISIONS I PROPOSAL SIGNATURE SHEET I The undersigned Bidder understands that the quantities mentioned herein are approximate only and are I subject to increase or decrease, and hereby proposes to perform all quantities of Work as either increased or decreased in accordance with the provisions of the Contract Documents and at the unit prices bid in the Bid Schedule, unless such schedule designates lump sum bids, or force account items. The full names and residences of all persons and parties interested in the foregoing Bid as principals are as I follows: Name Title Address I Steve Verbarendse President 2920 N. Heller Rd Oak Harbor, WA 98277 Krysta Verbarendse Corporate Secretary 2920 N. Heller Rd Oak Harbor, WA 98277 I Bidder acknowledges receipt of Addenda 1 through 3 Bidder has reviewed the third party liability insurance provisions of the Contract and hereby certifies that I coverage will be provided as required. I/ Yes No In preparing this Bid,Bidder is especially directed to consider 1-07,1(1) NOISE, 1-07.23(1) I CONSTRUCTION UNDER TRAFFIC, 1-08.0(2) HOURS OF WORK, and 1-08.4(2) SPECIAL CONSTRUCTION CONSTRAINTS, which contains information that must be taken into consideration when preparing this bid. This notice is only a convenience to the Bidder during bidding and in no way I relieves the Bidder from fully reading and taking into account all Contract Documents when preparing its Bid. The undersigned Bidder also hereby certifies that, within the three-year period immediately preceding the bid I solicitation date for this Project, the bidder has not been determined by a final and binding citation and notice of assessment issued by the department of labor and industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082,any provision of I chapter 49.46, 49.48, or 49.52 RCW. I certify(or declare) under penalty of perjury under the laws of the State of Washington that the foregoing sentence is true and correct. Name of I Bidder: SRV Construction, Inc. State of Washington Contractor's License S1RUCT/0 No. SRVCOI*990QA Go'''.•• %, Signature of Bidder's Authorized Agent: �� — City Where Signed: Oak Harbor14‘h SEALCORPORATE'..C' Email Address of Bidder's Authorized Agent: krysta@srvconstruction.com 1991 This email address may be used by the City to provide notice of any kind to the Bidder. A notice is 1OA I considered delivered to the Bidder on the date it is emailed to the email address. Dated at: Oak Harbor, WA 98277 Date: 3/20/18I Water Main Replacement"Q" Division P—PROPOSAL February 9,2018 -Evergreen Way Rebid Work Order No.—UP3612 SP—22 'age 32 Proposal Signature Sheet I Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com-Always Verify Scale