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CONTRACTOR: Please fill in the spaces and sign in the box <br /> appropriate for your business entity. <br /> CITY OF EVERETT _ <br /> WASHINGTON Corporation �Q(c C 0 ,j�'V c h - C 0 ryy r- <br /> [Contractor's Complete Legal Name <br /> By <br /> B` it/I 411 At Typed/Printed Name: <br /> ayIS -p anion, ayor Its loV"4,St(A1vti <br /> 5 ' i)t Date: frIti W 1Y <br /> Date <br /> AT EST: <br /> Partnership <br /> (4,6 (general) [Contractor's Complete Legal Name] <br /> ' a Washington general partnership <br /> haron F ller,, City Clerk <br /> llate:s , <br /> 4 9-0/ By <br /> Typed/Printed Name: <br /> General Partner <br /> Date: <br /> APPROVED AS TO FORM: Partnership <br /> (limited) [Contractor's Complete Legal Name] <br /> a Washington limited partnership <br /> James D. Iles ll By <br /> City Attorney Typed/Printed Name: <br /> Date: .S . $ a, 14- General Partner <br /> Date: <br /> Sole <br /> proprietorship <br /> Typed/Printed Name: _ <br /> Sole proprietor <br /> Date: <br /> Limited <br /> Liability <br /> Company [Contractor's Complete Legal Name] <br /> a Washington limited liability company <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> PAYMENT BOND <br /> WATER MAIN REPLACEMENT "R" Division C -CONTRACT March 1, 2017 <br /> Work Order# UP3646 SP--28 <br />