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<br /> <br /> <br />Service Provider Signature Page to Professional Services Agreement <br />(Form Approved by City Attorney’s Office January 7, 2010, updated November 15, 2022) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SERVICE PROVIDER: Please fill in the spaces and sign in the box appropriate for <br />your business entity. <br />Corporation <br />______________________________________ <br />[Service Provider’s Complete Legal Name] <br /> <br />By: __________________________________ <br />Typed/Printed Name: ____________________ <br />Its: __________________________________ <br />Date: ____________________ <br />Partnership <br />(general) <br /> <br />______________________________________ <br />[Service Provider’s Complete Legal Name] <br />a Washington general partnership <br /> <br />By: __________________________________ <br />Typed/Printed Name: ____________________ <br />General Partner <br />Date: ____________________ <br />Partnership <br />(limited) <br /> <br />______________________________________ <br />[Service Provider’s Complete Legal Name] <br />a Washington limited partnership <br /> <br />By: __________________________________ <br />Typed/Printed Name: ____________________ <br />General Partner <br />Date: ____________________ <br />Sole <br />Proprietorship <br /> <br />______________________________________ <br />Typed/Printed Name: <br /> <br />______________________________________ <br />Sole Proprietor: <br />Date: ____________________ <br />Limited <br />Liability <br />Company <br />______________________________________ <br />[Service Provider’s Complete Legal Name] <br />a Washington limited liability company <br /> <br />By: __________________________________ <br />Typed/Printed Name: ___________________ <br />Managing Member <br />Date: ____________________ <br />Digitally signed by Dakin Bell <br />DN: C=US, E=dakinb@brhinc.com, O="Bush, Roed and <br />Hitchings, Inc", CN=Dakin Bell <br />Reason: I agree to the terms defined by the placement <br />of my signature on this document <br />Date: 2022.12.02 11:20:11-08'00'