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2021/10/13 Council Agenda Packet
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2021/10/13 Council Agenda Packet
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10/14/2021 2:36:23 PM
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Council Agenda Packet
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10/13/2021
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EXHIBIT B <br />CONTRACTOR CERTIFICATION <br />EXECUTIVE ORDER 18-03 -- WORKERS' RIGHTS <br />WASHINGTON STATE GOODS & SERVICES CONTRACTS <br />Pursuant to the Washington State Governor's Executive Order 18-03 (dated June f 2, 2018), the <br />Washington State Department of Commerce is seeking to contract with qualified entities and business <br />owners who certify that their employees are not, as a condition of employment, subject to mandatory <br />individual arbitration clauses and class or collective action waivers. <br />Solicitation No.: 19-31440-1 <br />I hereby certify, on behalf of the firm identified below, as follows (check one): <br />El No MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE <br />ACTION WAIVERS FOR EMPLOYEES. This firm does NOT require its <br />employees, as a condition of employment, to sign or agree to mandatory <br />individual arbitration clauses or class or collective action waivers. <br />OR <br />0 MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE <br />ACTION WAIVERS FOR EMPLOYEES, This firm requires its employees, as a <br />condition of employment, to sign or agree to mandatory individual <br />arbitration clauses or class or collective action waivers. <br />OR <br />This firm certifies it has no employees. <br />hereby certify, under penalty of perjury under the laws of the State of Washington, <br />that the certifications herein are true and correct and that 1 am authorized to make <br />these certifications on behalf of the firm listed herein. <br />FIRM NAME: <br />By: <br />Title: <br />Date: <br />ature of autho <br />orJBiddez Print full legal entity name of firm <br />zed person <br />Title of parson ssgning certificate <br />Printed Name <br />ce: <br />garfieFEH <br />Print city and state where sign <br />Cat\ - <br />Return Contractor Certification to Procurement Coordinator as part of your complete response. <br />Pagel of 1 <br />
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