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City of Everett 00 4113 - 5 <br /> <br /> <br />Bid Form <br />004113-5 202082-10 May 2024 <br />pw://Carollo/Documents/WA/Everett/202082-100000/04 Design/04 Specs/Carollo/004113 (FS-100) <br /> <br />undersigned declares under penalty of perjury under the laws of the State of Washington that the <br />foregoing sentence is true and correct. <br /> <br />Signed this ___________ day of _______________________, 2024 <br />Name of Bidder: _________________________________________ <br />Signature of Bidder’s Authorized Agent: _______________________ <br />City and State Where Signed: ________________________ <br />Title: ______________________________ <br />Phone: ____________________________ <br /> <br />State of Incorporation _____________Contractor’s License No._________ <br /> Washington State___________ <br />Email address of Bidder’s authorized Agent: <br />_______________________________ <br /> <br /> <br /> <br /> <br /> <br />The remainder of this page intentionally left blank <br />