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I <br /> I Certification of Compliance with <br /> • Wage Payment Statutes <br /> I EVERETT <br /> WASHINGTON <br /> The bidder herebycertifies that, within the three-year period immediately preceding the bid <br /> I <br /> solicitation date March 17, 2020, the bidder is not a "willful" violator, as defined in RCW 49.48.082, <br /> of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final and binding <br /> citation and notice of assessment issued by the Department of Labor and Industries or through a <br /> civil judgment entered by a court of limited or general jurisdiction. <br /> I certify under penalty of perjury under the laws of the State of Washington that the foregoing is <br /> I <br /> true and correct. <br /> GRANITE CONSTRUCTION COMPANY <br /> IBidder's Business N.me <br /> )A/14 aP <br /> ISigrfature of Auth/rized Official* <br /> JAMES A.PROUTY <br /> IPrinted Name <br /> SENIOR ESTIMATOR <br /> I Title <br /> 03/7/74 EVERETT WA <br /> Date City State <br /> I Check One: <br /> Sole Proprietorship 0 Partnership ❑ Joint Venture 0 Corporation <br /> State of Incorporation, or if not a corporation,State where business entity was formed: <br /> CALIFORNIA <br /> IIf a co-partnership, give firm name under which business is transacted: <br /> n I q <br /> I , <br /> *if a corporation,proposal must be executed In the corporate name by the president or vice-president(or any <br /> other corporate officer accompanied by evidence of authority to sign).If a co-partnership,proposal must be <br /> Iexecuted by a partner. <br /> IPAGE 19 OF 19 DIVISION P <br /> 2020 PAVEMENT MAINTENANCE OVERLAY FEBRUA 20, P <br /> WORK ORDER 3727 <br />