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Brian Gillum 2/21/2017
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Brian Gillum 2/21/2017
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Last modified
3/16/2017 1:35:36 PM
Creation date
3/16/2017 1:35:31 PM
Metadata
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Contracts
Contractor's Name
Brian Gillum
Approval Date
2/21/2017
End Date
12/31/2018
Department
Public Works
Department Project Manager
Chad Cabe
Subject / Project Title
Work-related ergonomic and training services
Tracking Number
0000514
Total Compensation
$8,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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SERVICE PROVIDER: Please fill in the spaces and <br /> sign in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation <br /> WASHINGTON <br /> [Service Provider's Complete Legal Name] <br /> I <br /> As('Oft.,.rAAA !. <br /> Ray SIF anson,r ayor By: <br /> Typed/Printed Name: <br /> 1 /.w1 Its: <br /> Date Date: <br /> ATTEST: Partnership <br /> (general) <br /> _ [Service Provider's Complete Legal Name] <br /> `L <br /> 0 h- -- 9��1/1'14 4/141.4/7C-#1- a Washington general partnership <br /> .f-p-- Sharon Fuller,City Clerk <br /> By: <br /> oZ.—oZ I--I7 Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited)(T) <br /> [Service Provider's Complete Legal Name] <br /> _ a Washington limited partnership <br /> ames D. Iles, City tttnney <br /> By: <br /> 24i'L ! Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole fariaei fir,Ilukv <br /> Proprietorship <br /> Typed/Printed Name: <br /> AI.. ..ia. <br /> .proprietor: <br /> Date: /672 "13/ 2,0/8 <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page 7 <br /> (Form Approved by City Attorney's Office January 1,2010,updated June 15,2014) <br />
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