Laserfiche WebLink
SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br />your business entity. <br />Corporation <br />Landau <br />Associates, <br />Inc. <br />[Service <br />By: <br />;'J <br />Provider's <br />(. <br />�) <br />Complete <br />Cr--- <br />Legal <br />Name] <br />- <br />VP, <br />Client <br />Strategy <br />Name: <br />Scott <br />Woerman <br />Typed/Printed <br />Its: <br />Date: <br />& <br />Risk <br />Management <br />January <br />20, 2022 <br />Partnership <br />(general) <br />[Service <br />a <br />By: <br />Washington <br />Provider's <br />general <br />Complete <br />partnership <br />Legal <br />Narne] <br />Partner <br />Name: <br />Typed/Printed <br />General <br />Date: <br />Partnership <br />(limited) <br />[Service <br />a <br />By: <br />Washington <br />Provider's <br />limited <br />Complete <br />partnership <br />Legal <br />Name] <br />Partner <br />Name: <br />Typed/Printed <br />Genetal <br />Date: <br />Sole <br />Proprietorship <br />Name: <br />Typed/Printed <br />Sole <br />Date: <br />Proprietor: <br />Limited <br />Liability <br />Company <br />[Service <br />a <br />By: <br />Typed/Printed <br />Managing <br />Washington <br />Provider's <br />limited <br />Complete <br />liability <br />Legal <br />Name] <br />company <br />Member <br />Name: <br />Date: <br />Page 11 <br />(Form Approved by City Attorney's Office January 7, 2010, updated January 6, 2022) <br />