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I <br /> Section 00 41 13 BID FORM <br /> B. The undersigned Bidder also hereby certifies that, within the three-year period <br /> immediately preceding the bid solicitation date for this project, the Bidder has not <br /> been determined by a final and binding citation and notice of assessment issued <br /> by the department of labor and industries or through a civil judgment entered by <br /> a court of limited or general jurisdiction to have willfully violated, as defined in <br /> RCW 49.48.082, any provision of chapter 49.46, 49.48, or 49.52 RCW. The <br /> undersigned declares under penalty of perjury under the laws of the State of <br /> Washington that the foregoing sentence is true and correct. <br /> Signed this 15th day of Februaj - 2022 1 <br /> Name of Bidder: McClure and Sons, In . <br /> Signature of Bidder's Authorized Agenl. ' <br /> Title: President <br /> Phone: (425) 316-6999 <br /> City and State Where Signed: Mill Creek WA <br /> State of Incorporation Washington Contractor's License No. MCCLUSI101 MJ I <br /> Washington State Yes <br /> Email address of Bidder's authorized Agent: I <br /> les@mcclureandsons.com bids@mcclureandsons.com <br /> END OF SECTION 00 41 13 <br /> 1 <br /> 1 <br /> 1 <br /> I <br /> City of Everett 00 41 13-6 January 2022 <br /> Evergreen Pump Station Modifications <br /> UP3747-3 <br />