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1�� I I �� 11 %` 11 1 <br /> Evergreen State i®` Evergreen Eastside — — Evergreen State <br /> �; <br /> Heat & AC Heat &AC Electrical Services <br /> /' ' `` �DMzlan cf Ereigreen SGie Seef Mefel,Inc. <br /> NOTICE TO CUSTOMER <br /> DISCLOSURE STATEMENT REGARDING LIEN RIGHTS <br /> RCW 18.27.114 <br /> This contractor is registered with the State of Washington,registration no.EVERGSS928RN,and has posted with the state a <br /> bond or deposit of$4,000/$6,000 for the purpose of satisfying claims against the contractor for breach of contract including <br /> negligent or improper work in the conduct of the contractor's business. The expiration date of this <br /> contractor's registration is: <br /> THIS BOND OR DEPOSIT MIGHT NOT BE SUFFICIENT TO COVER A CLAIM THAT MIGHT ARISE FROM THE <br /> WORK DONE UNDER YOUR CONTRACT. <br /> This bond or deposit is not for your exclusive use because it covers all work performed by this contractor. The bond or deposit <br /> is intended to pay valid claims up to that you and other customers, suppliers,subcontractors,or taxing authorities may have. <br /> FOR GREATER PROTECTION YOU MAY WITHHOLD A PERCENTAGE OF YOUR CONTRACT. <br /> You may withhold a contractually defined percentage of your construction contract as retainage for a stated period of time to <br /> provide protection to you and help insure that your project will be completed as required by your contract. <br /> YOUR PROPERTY MAY BE LIENED. <br /> If a supplier of materials used in your construction project or an employee or subcontractor of your contractor or subcontractors <br /> is not paid,your property may be liened to force payment and you could pay twice for the same work. <br /> FOR ADDITIONAL PROTECTION,YOU MAY REQUEST THE CONTRACTOR TO PROVIDE YOU WITH ORIGINAL <br /> "LIEN RELEASE"DOCUMENTS FROM EACH SUPPLIER OR SUBCONTRACTOR ON YOUR PROJECT. <br /> The contractor is required to provide you with further information about lien release documents if you request it. General <br /> information is also available from the state Department of Labor and Industries. <br /> I have received a copy of this disclosure statement. <br /> Customer Signature <br /> Date Signed <br /> EVERGREEN STATE HEAT&AC <br />