Sierra Pacific Industries 8/16/2020

(e4 State of Washington Department of Revenue Purchaser Certification For PO Box47472 Export Restricted Timber Olympia WA 98504-47472 p 1-800-548-8829 Contracting/Selling Agency: City of Everett Sale Name: Date of Sale: Chaplain Gap 7/20/21 Agency Contract Number: #2021-01 DNR Region: County: Northwest Snohomish Forest Practices Application Number: Legal Description:Sec/Twp/Rge: 2817134, 2817867, 2817914 ptns 6,7,8,17/T28N-8E; 25,35,36/T29N-7E; 31/129N-8E Estimated Sale Volume: 8,030 Unit of Measure: MBF Scribner,Weight(pounds,tons),Cords,Other MBF Scribner Assigned Log Brand Description: Registered Log Brand Number: The Purchaser hereby affirms, under penalty of law, the truth of the following: A. That export restricted unprocessed timber will not be: • Exported by the Purchaser or used in substitution by the Purchaser, or • Transferred to any other person for the purpose of export or substitution. B. That hammer brands and red paint applied to such timber as required by WAC 240-15-025 shall remain on such timber until it is domestically processed. C. That prior to selling, trading, exchanging, or otherwise conveying export restricted timber to any other person, the purchaser (transferor) shall require the transferee to sign a completed Transferee Certification. The original is to be mailed to Department of Revenue prior to the logs being physically transferred. D. That the transferor shall not sell, trade, exchange or otherwise convey export restricted timber to any other person on the Department of Revenue ineligible list. Making false statements on the Bidder Certification is punishable as a gross misdemeanor RCW 9A.72.040. Purchaser's Name: Sierra Pacific Industries Address: 14353 McFarland Road City,State,Zip Code: Mount Vernon, WA, 98273 Phone Number: FAX Number: (360) 424-7619 UBI Number: Timber Tax Number: 601 766 172 800 059 489 Representative's Name/Title: Adam Ellsworth/Loq Procurement Manager Repreaen ive's Signatu� Date: 7/26/21 REV 62 0077e(w)(3/2/07) 1