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I <br /> CITY OF EVERETT PUBLIC WORKS 00 45 39 I <br /> SPECIAL PROVISIONS MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> DOCUMENT 00 45 39—MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> I <br /> 1 <br /> 1,1 GENERAL <br /> I <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 t <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 /> I <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 I <br /> to the DBE/WBE so listed. Contractor shall state the reasons such subcontract was not awarded <br /> to the DBR/WBE and shall state the DBE/WBE quote together with the actual subcontract price <br /> I <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 /> I <br /> Name of Firm Address Work Involved <br /> see d� I <br /> Imo Au — • la - ° O. -. 0 fCif :. A 'C.. _I , <br /> CoinsAirtrksiibr3 IA-iWan' _LAM <br /> I <br /> I. Please estimate the percentage of work that will be subcontracted to DBE's and WBE's I subcontractor and/or suppliers: 15°10 <br /> 2. Please estimate the percentage of your force on this project that will be made up of <br /> minority group members: .5% <br /> I <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY <br /> KNOWLEDGE AND BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION <br /> REQUESTED BY THE CIegG RDING DBE/WBE SUBCONTRACT WORK. I <br /> Signature: ( <br /> ____ Date: 6/12/2018 <br /> R.E. Kinghorn, Present <br /> END OF DOCUMENT 00 45 39 I <br /> I <br /> PROCESS WATER PUMP STATION 06/14/2017 <br /> WO-3647 00 45 39- I <br /> I <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal I <br />