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CERTIFICATION OF COMPLIANCE WITH WAGE PAYMENT STATUTES <br />LIMITED (SMALL WORKS) PUBLIC WORKS CONTRACT #2024-051 <br />EVERETT STATION PLATFORM FENCING & GATES <br />The Contractor hereby certifies that within the three -year period immediately preceding the bid <br />solicitation due date (February 14 , 20 24), the Contractor is not a “willful” violator, as defined in <br />RCW 49.48.082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined by a final <br />and binding citation and notice of assessment issued by the Department of Labor and Industries <br />or through a civil judgment entered by a court of limited or general jurisdiction. <br />I certify under penalty of perjury under the laws of the State of Washington that the foregoing is <br />true and correct. <br /> <br />Contractor’s Business Name <br />Signature of Authorized Official* <br /> <br />Printed Name <br /> <br />Title <br /> <br />Date City where signed State <br />Check One: <br />Sole Proprietorship ☐ Partnership ☐ Joint Venture ☐ Corporation ☐ <br />The State of Incorporation, or if not a corporation, State where the business entity was formed: <br /> <br />If a co -partnership, give firm name under which business is transacted: <br />* If a corporation, the proposal must be executed in the corporate name by the president or vice -president <br />(or any other corporate officer accompanied by evidence of authority to sign). If a co -partnership, the <br />proposal must be executed by a partner. <br />EAGLE FENCE AND IRON, LLC <br />LUKE E. NAKKEN <br />PRESIDENT <br />3/5/24 MARYSVILLE WA <br />WASHINGTON STATE