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<br /> CITY OF EVERETT SPECIAL PROVISIONS
<br /> CITY OF EVERETT
<br /> IDISADVANTAGED/WOMEN'S BUSINESS ENTERPRISE
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<br /> IAlthough 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 and list on this form shall
<br /> I disqualify a contract Bidder from consideration from contract award. During contract performance, or
<br /> in any event prior to final payment, Bidder shall provide the City with the names and addresses of all DBE
<br /> and WBE subcontractors actually awarded subcontracts and performing Work under the Contract. In the
<br /> event that a subcontract bid is solicited and listed below and a subcontract is not awarded to the DBE/WBE
<br /> Iso listed, Contractor shall state the reasons such subcontract was not awarded to the DBR/WBE and shall
<br /> state the DBE/WBE quote together with the actual subcontract price paid and the name of the Subcontractor
<br /> to whom the Work was subsequently awarded.
<br /> II. List all DBE and WBE subcontractors and suppliers from which bids or quotes for Work on this
<br /> Project have been solicited:
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<br /> Name of Firm Address Work Involved
<br /> Q\ c'. W , .,\ -e 1 1,s i-- T er5,,,,1-7 15. S.�byu;,-cs
<br /> I AciVo-ii cad&c,va/0(1,- 4,✓ia.4 0-4'H FaaF'e.Aliseriac.omc4,VA- 5Vvy( rcu.fr., Ccore{
<br /> t. 4.:4N( �.1 f 1;1 , L Ccv e4 24,1 4544.Phvr Su)j Sc:zii 1e,i.c..4 9 cr//Co Trfi�; C nhr
<br /> 13,c-A6n, (:4n5 c*.� 0 73 /-1-;nti-res C1- 81c. - -7r'--(-t,c C.vt]Ya-Q
<br /> b'3Knc) "c/neer, ,&-12- L.),.4i age.-Sr)) Su;KS�y (�,t y32 Sur✓eyi6e�.
<br /> I IV-(0 A-I- -5 S6trJeli ' 5 61o' ))ri�S> � EiY,rcPic,,ta f �1SS�73 4nw�/elliW-,
<br /> �'� 1. �u✓u�ttC (.._,:,,--p `7 c- /os--." Arc C., rdr/euic-d L.A' 9s 37 Z e.171c-+e .`3
<br /> r{I i‘ s e.'s slrra-,04 cn. 1-;- 7i..6.4 4,144,/'f , 1k u..:'fivi 1 I,1,It he-273- 0.4.41 crr..4e.
<br /> I h<V0 ire�sp;,r+ [.Lc. rigE.3
<br /> Lis s+ s -d,-, Alt-0, -�a.riim�•,, W 112+ .�<�
<br /> 9ct-z,33
<br /> II. Please estimate the percentage of Work that will be subcontracted to DBE's and WBE's
<br /> subcontractor and/or suppliers: 2)1;
<br /> IIII. Please estimate the percentage of your force on this Project that will be made up of minority group
<br /> members: i ,`�U
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<br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
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<br /> AND BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION REQUESTED BY THE CITY
<br /> REGARDING DBE/WBE SUBCONTRACT WORK.
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<br /> 2 ' ... , i/,
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<br /> Signature:� � Date:
<br /> ue Th4M3 ‘,,,
<br /> North Wetmore Stormwater I Separation i d,t,ili--- ,
<br /> Division P-PROPOSAL February 2018
<br /> Work Order No.-UP3659 SP-27
<br /> PIlvided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Seal
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