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DocuSign Envelope ID: F8FCAFA8-FBB2-47AF-964F-11 E53C70E4A1 <br /> APPENDIX B OR D MUST BE SUBMITTED WITH BID <br /> APPENDIX D <br /> CERTIFICATION REGARDING SUBCONTRACTING PRACTICES <br /> We, Owens Roofing,Inc. hereby certify that it is <br /> (Name of Bidder) <br /> our intent to perform 100%of the work required for the <br /> Roof Replacement-Sector A Skills Development Center contract. <br /> (Name of Project) <br /> In making this certification,the Bidder states the following: <br /> I. That the Bidder does not customarily subcontract elements of this type project,and normally <br /> performs and has the capability to perform and will perform all elements of the work on this <br /> project with his/her own current work forces;and <br /> 2. That the Bidder agrees to submit the following information after bid and before the award of the <br /> contract: <br /> * List the scope of services involved in this project. <br /> * List previous projects of this type that Bidder has performed with his/her forces. <br /> Payrolls from the above-mentioned jobs which illustrate Bidder's employees'job <br /> classifications needed to perform the elements of the work on the Project or a breakdown <br /> of Bidder's entire work force which illustrates the number of employees in each job <br /> classification. <br /> Name and phone number of the Field Supervisors for these jobs. <br /> List of equipment Bidder's firm owns that has been used on previous projects. <br /> Copies of lease agreement for equipment that was leased. <br /> The Bidder agrees to provide any additional information requested for the statement contained in paragraph number <br /> I above. <br /> The undersigned hereby certifies that he or she has read this certification and is authorized to bind the Bidder to the <br /> commitments herein contained. <br /> Date: 12.22.14 Bert Owens <br /> (Name o uthori j Officer) <br /> Signature: 1 _ <br /> Title: President <br />