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' :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 WEE's subcontracts is not:required in the performance of the- <br /> work under this Contract, in the event that subcontractors will be used in the performance of this <br /> Contract, Bidder is required to solicit bids from DBE and WBE subcontractors as a condition to qualify <br /> ' for award of contract <br /> C. Failure to solicit subcontract bids from DBE or WBE subcontractors Or failureto list thembelow <br /> shall disqualify a Contract Bidder from consideration for Contract award. <br /> D. During Contract performance;or in'any event prior.'to':firiaI payment Bidder Shall provide the City rniith <br /> the names and addresses Of all. DBE.and WEE. subcontractors actually awarded 'subcontract&and. <br /> performutg work under the contract <br /> E. In the event that a:subcontractbid is;solicited and listed below and a subcontract isnot awarded to the <br /> DBE/WBE so listed,:Contractor shall state. the :reasons suclt subcontract was not awarded to -the <br /> DBR/WBE and shall sstate the DBE/WBE quote together with the actual'subcontract.price paid and the, <br /> name of the Subcontractor .t whom the:work was subsequentlyawarded. <br /> List all DBE and WBE subcontractors and supphers'from which Bids`or quotes far work on this project <br /> have been solicited;' <br /> Name of Firm, Address WorkInvolved <br /> Svbso4TAL,e. CD•1S-hCutdian or1e-,,Wh\911 1i1\5taLt. files <br /> -P Sou( 5 €-U ,W W .0.-exicAr -f k-tlrt <br /> p_e6 1,ASCr- F,rgvt-;ic Fedi s, Serve V\ <br /> 1. Please estimate the percentage of work. that will be subcontracted to DBE's and.WBE's <br /> subcontractor and/or suppliers: <br /> 2. Please estimate the percentage of your force on this project that will be made up of minority group. <br /> ' members:. <br /> I CERTIFY THAT THE ABOVE IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE <br /> AND BELIEF AND AGREE TO PROVIDE ALL ABOVE INFORMATION REQUESTED BY THE <br /> CITY REGARDING DBE/WBE SUBCONTRACT WORK. <br /> Signature: )>(l/' Date: 9/11/2018 <br /> ' Tyler Kl(.nbe e , President <br /> ND OF DOCUMENT 00 45 39 <br /> ' 10023829 City of Everett Public Works July 2018 <br /> WPCF FEN Chlorination Building Upgrade Work Order 3614 <br /> MINORITY BUSINESS ENTERPRISE AFFIDAVIT <br /> 00 45 39-1 Issue for Bid <br /> Provided to Builders Exchange of WA. Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />