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<br />Lenora Regional SW Facility Division P – Proposal Nov. 2025 <br />Work Order # UP3792 SP - xxx <br />Category 2: For official use only / disclosure permissible by law. <br />judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of chapter 49.46, 49.48, or 49.52 RCW. The undersigned hereby declares under penalty of perjury under the laws of the State of Washington that the foregoing sentence is true and correct. <br />Name of Bidder:________________________________________________________________________ <br /> <br />State of Washington Contractor’s License No._________________________________________ <br />Signature of Bidder’s Authorized Agent: _________________________________________ <br /> <br />City and State Where Signed: _________________________________________________________ <br /> <br />Email Address of Bidder’s Authorized Agent: ____________________________________ <br /> <br />This email address may be used by the City to provide notice of any kind to the Bidder. A notice is <br />considered delivered to the Bidder on the date it is emailed to the email address. <br /> <br />Dated at: ________________________________________Date: _____________________________ <br /> <br /> <br /> <br /> <br /> <br /> <br />