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.T.- — __ . -- — ____. , ...... ..„..„ ...„. ......,_., ,,.„,,.... _.,_.,_.„. ,„_., .,, ., , , <br /> ICITY OF EVERETT SPECIAL PROVISIONS <br /> PROPOSAL SIGNATURE SHEET <br /> IThe undersigned Bidder understands that the quantities mentioned herein are approximate only and are subject <br /> to increase or decrease,and hereby proposes to perform all quantities of Work as either increased or decreased <br /> in accordance with the provisions of the Contract Documents and at the unit prices bid in the Bid Schedule, <br /> unless such schedule designates lump sum bids, or force account items. <br /> The full names and residences of all persons and parties interested in the foregoing Bid as principals are as <br /> ' follows: <br /> Name Title Address <br /> Sedro-Woolley,WA <br /> I Eben Twaddle President <br /> Sean McGuiness Vice President Sedro-Woolley,WA <br /> Dana Orbe Vice President Lyman,WA <br /> Roy Swihart Vice President Sedro-Woolley,WA <br /> Mark Suhadolnik <br /> Treasurer Bellingham,WA <br /> Rhonda Twaddle Secretary 5edro Woolley,WA <br /> Patti Baker Secretary Lake Stevens,WA <br /> Suzanne DowningS creta Bellingham,WA <br /> I Bidder acknwledges receipt of Addenda ry 1 through 3 <br /> Bidder has reviewed the third-party liability insurance provisions of the Contract and hereby certifies that <br /> coverage will be provided as required. X Yes No <br /> In preparing this Bid,Bidder is especially directed to consider [insert special provision section(s)you want <br /> Bidder to make sure he's addressed in his bid,i.e., 1-07.1(1)NOISE, 1-07.23(1)CONSTRUCTION <br /> UNDER TRAFFIC, 1-08.4(2)SPECIAL CONSTRUCTION CONSTRAINTS],which contains <br /> I information that must be taken into consideration when preparing this bid.This notice is only a convenience <br /> to the Bidder during bidding and in no way relieves the Bidder from fully reading and taking into account all <br /> Contract Documents when preparing its Bid. <br /> `II1 <br /> The undersigned Bidder also hereby certifies that,within the three-year period immediately preceding the bid <br /> solicitation date for this Project,the bidder has not been determined by a final and binding citation and notice <br /> of assessment issued by the department of labor and industries or through a civil judgment entered by a court <br /> of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of <br /> chapter 49.46, 49.48,or 49.52 RCW. I certify(or declare)under penalty of perjury under the laws of the <br /> State of Washington that the foregoing sentence is true and correct. <br /> Name of <br /> I Bidder: Interwest Construction, Inc. <br /> 4 <br /> State of Washington Contractor's License <br /> No. INTERCI121OF <br /> Agent: • <br /> Bidder's Authorized r�"`r (9— <br /> IL <br /> Signature of <br /> Eben Twaddle,President <br /> City Where Signed: Burlington,WA <br /> Email Address of Bidder's Authorized Agent: bids@interwest.biz <br /> This email address may be used by the City to provide notice of any kind to the Bidder.A notice is <br /> considered delivered to the Bidder on the date it is emailed to the email address. <br /> Dated at: Burlington, WA Date: 12/18/18 <br /> Cleveland Avenue Division P—PROPOSAL November 2018 <br /> Sewer System Replacement and <br /> Storm Water Separation <br /> Work Order No.—UP3398 SP -21 <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />