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CITY OF EVERETT - PROPOSAL <br /> <br /> <br /> <br /> <br />Everett Mall Bus Platform PROPOSAL December 2024 <br />WO No – MALLSTN/24462 P-17 <br />CERTIFICATE OF COMPLIANCE WITH WAGE PAYMENT STATUTES <br /> <br />The bidder hereby certifies that, within the five-year period immediately preceding the bid <br />solicitation date, the bidder is not a “willful” violator, as defined in RCW 49.48.082, of any <br />provision of Chapters 49.46, 49.48, or 49.52 RCW, as determined by a final and binding citation <br />and notice of assessment issued by the Department of Labor and Industries or through a civil <br />judgment entered by a court of limited or general jurisdiction. <br /> <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 /> <br /> <br />Bidder’s Business Name <br />Signature of Authorized Official* <br />Printed Name <br />Title <br />Date City State <br /> <br />Check One: <br />Sole Proprietorship Partnership Joint Venture Corporation <br /> <br />State of Incorporation, or if not a corporation, State where business entity was formed: <br /> <br /> <br /> <br />If a co-partnership, give firm name under which business is transacted: <br /> <br /> <br /> <br />*If a corporation, proposal must be executed in the corporate name by the president or vice-president (or <br />any other corporate officer accompanied by evidence of authority to sign). If a co-partnership, proposal <br />must be executed by a partner. <br /> <br />