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Sample 10/4/2023
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Sample 10/4/2023
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Entry Properties
Last modified
10/4/2023 11:17:38 AM
Creation date
10/4/2023 10:58:04 AM
Metadata
Fields
Template:
Contracts
Contractor's Name
Sample
Approval Date
10/4/2023
Department
Legal
Department Project Manager
Tim Benedict
Subject / Project Title
Test
Tracking Number
0003969
Total Compensation
$0.00
Contract Type
Agreement
Contract Subtype
Professional Services (PSA)
Retention Period
6 Years Then Destroy
Imported from EPIC
No
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<br />Beverly Lake Water Quality Retrofit Division C - CONTRACT August 2023 <br />Work Order # UP3745 SP – 41 <br />CITY OF EVERETT <br />WASHINGTON <br /> <br /> <br /> <br />By: _____________________ <br />Cassie Franklin, Mayor <br /> <br /> <br />_________________________ <br />_ <br />Date <br /> <br /> <br /> <br />ATTEST: <br /> <br /> <br />__________________ <br />Office of the City Clerk <br /> <br /> <br />STANDARD DOCUMENT <br />APPROVED AS TO FORM <br />OFFICE OF THE CITY ATTORNEY <br />(8.15.23) <br /> <br />CONTRACTOR: Please fill in the spaces and sign in the box appropriate for <br />your business entity. <br />Corporation <br />Limited Liability <br />Company <br />Partnership <br /> <br />______________________________________ <br />[Contractor’s Complete Legal Name] <br /> <br /> <br /> <br />By: __________________________________ <br /> Signature <br /> <br />Typed/Printed Name of Signer: ____________________ <br /> <br />Title of Signer: __________________________________ <br /> <br />Date: ____________________ <br />Sole <br />Proprietorship <br /> <br />______________________________________ <br />[Typed/Printed Name] <br /> <br />______________________________________ <br />Signature <br /> <br />Date: ____________________ <br />
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