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FORM 4.02 SUPPLIER COMMITMENT AND INFORMATION <br /> REQUEST FOR PROPOSAL #2018-104 Federal Legislative & Advocacy Services <br /> Company Name: Holland&Knight LLP <br /> Company Address: 800 17th Street NW,Suite 1100 <br /> City: Washington State: DC ZIP: 20006 <br /> Tax ID#: 59-0663819 UBI #: <br /> Legal status of supplier organization, i.e., corporation, partnership, sole proprietorship.Limited Liability <br /> Partnership <br /> Website: www.hklaw.com City of Everett Business License# <br /> Supplier Contact Name (if different from Authorizing Official): Supplier Contact Title: Senior Policy Advisor <br /> Supplier Contact Email: leslie.pollner@hklaw.com Supplier Contact Direct Phone: 202.469.5149 <br /> Supplier Contact Address (If different from above): <br /> City: State: ZIP: <br /> By responding to this solicitation, the Supplier understands and agrees to be bound by all requirements and <br /> contract terms and conditions contained in this solicitation. By signing this form, the Supplier <br /> acknowledges receipt and understanding of any and all addenda issued for this solicitation. This form, <br /> signed by an individual authorized to legally commit the Supplier, shall be submitted as the cover page. <br /> The Supplier also certifies that: <br /> • I am authorized to commit my firm to this Proposal and that the information herein is valid for 90 days from this date. <br /> • That all information presented herein is accurate and complete and that the scope of work can be performed as <br /> presented in this proposal upon the City's request. <br /> • That I have had an opportunity to ask questions regarding this Proposal and that those questions have been <br /> answered. <br /> • That this Proposal response is made without prior understanding, agreement, or connection with any corporation,firm, <br /> or person submitting an offer for this Proposal and is in all respects fair and without collusion or fraud. <br /> Authorizing Official Name: Leslie I.Poliner Authorizing Official Title: Senior Policy Advisor <br /> Authorizing Official Email:leslie.pollner@hklaw.com Authorizing Official Phone: 202.469.5149 <br /> Authorizing Official Signature: /�, <br /> /1 Y <br /> 15 <br />