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Rev. 4/83
PUBLIC WORK OR IMPROVEMENT
PARTICIPATION CERTIFICATION: REF. RCW 35.22.650
CONTRACTS EXCEEDING $10,000 (OR $15.000 FOR WATERMAIN CONSZRUCTION)
MINORITY BUSINESS ENTERPRISES (MBE)
and
WOMENS' M71NORITY BUSINESS ENTERPRISES (WMBE)
(BUSINESSES OWNED AND OPERATED BY WOMEN)
Contractor agrees that he shall actively solicit the employment of minority group
members. Contractor further agrees that he shall actively solicit bids for the
subcontracting of goods or ser-vicee from qualified minority businesses. Contractor
shall furnish evidence of his compliance with these requirements of minority
e ployment and solicitation. Contractor further agrees to consider the grant of
m
ubcontractors to said minority bidder�; on the basis of substantially equal
favorable to said minority businesses. The contractor
proposals In the light most
shall be required to submit evidence of compliance with this section as part of the
bid , AS used In thi a section, the term "minority business" means a business at
least fi fty-one percent of which is owned by minority �roup members. Minority
group members Include, but are not limited -�o blacks, women, native Americans,
Orientals, Eskimos, Aleuts and Spanish Americans. The City will consider sworn
a ffidavits presented by subcontractors In advance of contrazt award as one means of
establishing minority status in accordance with criteria cited above.
To be eligible for award of this contract, the bidder must execute and submit, as
a part of the bid, the following certification which will be deemed a part of the
resulting contract. A bidder's failure to submit this certification or submission
f a false certification shall render his bid nonresponsive.
MINORITY BUSINESS ENTERPRISE CERTIFICATION
Certifier that:
Name ot Bidde�
(a) it (does) (doe s not) intend to sublet a portion of the contract work and
(has) (has not) taken affirmative action to seek out and consider minority
business enterprises as potential subcontractors.
(b) the contacts ma de with potential minority business enterprise subcontractors
and the results thereof are listed below. Indicate whether NBE or WMBF. and
identify minority gr�up. (If necessary, use additio�al sheet.)
MBE Min. Gr. WNBE
Results Contacts)
(Name of Firm, Bid Item, of
3.
4.
5.
K-M�r/Ms. Rol:) �1 A *V-- has been designated as
--rhe liaison officer for the adminit;�i-i'�-��,,-tqhseom-inority business enterprise
program for this firm.