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ICity of Everett 00 4546 - 1 <br /> Evergreen Branch Library Expansion 2017-008 <br /> I <br /> SECTION 00 45 46—CERTIFICATE OF COMPLIANCE WITH WAGE PAYMENT STATUTES <br /> I <br /> 1.1 RELATED SECTIONS <br /> A. Document 00 21 13—INSTRUCTION TO BIDDERS <br /> I1.2 REQUIREMENT <br /> A. In order to meet Mandatory Responsibility Criteria per RCW 39.04.350(1),apparent lowest responsive bidder <br /> shall complete and submit this document to owner prior to Owner awarding Contract. <br /> The bidder hereby certifies that,within the three-year period immediately preceding the bid solicitation date <br /> I September 12,2018,the bidder is not a"willful"violator,as defined in RCW 49.48.082,of any provision of chapter <br /> 49.46,49.48 RCW,as determined by a final and binding citation and notice of assessment issued by the Department <br /> of Labor and Industries or through a civil judgement entered by a court of limited or general jurisdiction. <br /> II certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. <br /> 'rbtfrot` Co <br /> N lots, Co 10� <br /> I Bidder's Business Name <br /> Signa ,' - . Authorized Official* <br /> I -+. <br /> 04402 <br /> Printed Name <br /> I l'�Y r re-1 <br /> Title <br /> I <br /> 141r) <br /> I ate Ci State <br /> ICheck One: <br /> ISole Proprietorship 0 Partnership 0 Joint Venture 0 Corporation all <br /> State of Incorporation, or if not a corporation, State where business is transacted: <br /> IVsibilt\ii`LK6fa <br /> I *If a corporation, proposal must be executed in the corporate name by the president or vice <br /> president(or any corporate officer accompanied by evidence of authority to sign). If a co- <br /> partnership, proposal must be executed by a partner. <br /> IEND OF SECTION 00 45 46 <br /> I00 4546 - 1 CERTIFICATION OF COMPLIANCE WITH <br /> WAGE PAYMENT STATUTES <br /> I <br />