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City of Everett 00 41 13 - 5 00 41 13 - 5 BID FORM undersigned declares under penalty of perjury under the laws of the State of Washington that the foregoing sentence is true and correct. Signed this ___________ day of _______________________, 2024 Name of Bidder: _________________________________________ Signature of Bidder’s Authorized Agent: _______________________ City and State Where Signed: ________________________ Title: ______________________________ Phone: ____________________________ State of Incorporation _____________Contractor’s License No._________ Washington State___________ Email address of Bidder’s authorized Agent: _______________________________ The remainder of this page intentionally left blank