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Certification of Compliance with Wage Payment Statutes <br /> The bidder hereby certifies that,within the three-year period immediately preceding the <br /> bid solicitation date January 15, 2021, the bidder is not a "willful" violator, as defined in <br /> RCW 49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined <br /> by a final and binding citation and notice of assessment issued by the Department of Labor <br /> and Industries or through a civil judgment entered by a court of limited or general <br /> jurisdiction. <br /> I declare under penalty of perjury under the laws of the State of Washington that the <br /> foregoing is true and correct. <br /> R v im. t ui LLC <br /> Bidder's Business Nahle <br /> Signature of Authorized Official* <br /> (-{- fwP IcDiv,k� <br /> Printed Name <br /> Ck_✓TYl 07- <br /> TitleitJ <br /> I.-)/ Lc, J a_k 1 r,c( o,(_, t ' <br /> Da e City State <br /> I <br /> Check One: <br /> Sole Proprietorship <br /> I <br /> I <br /> Pi <br /> I <br />