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1 <br /> Attachment B to REQUEST FOR PROPOSALS-Forms <br /> General Contractor/Construction Manager Services for <br /> Water Pollution Control Facility Expansion-Phase C <br /> - - <br /> FORM 1 <br /> PROPOSAL CERTIFICATION FORM <br /> Name of Proposing Firm: Contact Individual's Name: <br /> Address of Contact Individual: <br /> Phone Number of Contact Individual: E-mail Address of Contact Individual: <br /> Firm's Washington State Contractor's Registration Number: <br /> Receipt is hereby acknowledged of Addenda No(s).: <br /> OFFICIAL AUTHORIZED TO SIGN FOR PROPOSER: <br /> "I certify (or declare) under penalty of perjury under the laws of the State of <br /> Washington that the foregoing is true and correct": <br /> Signature: Date: <br /> Print Name and Title Location or Place Executed: <br /> (City, State) <br /> City of Everett Page B1 April 16, 2012 <br /> Water Pollution Control Facility Expansion-Phase C41 <br />