Laserfiche WebLink
. I <br /> I <br /> Certification of Compliance with Wage <br /> ,,, Payment Statutes <br /> The bidder hereby certifies that, within the three-year period immediately preceding the <br /> bid solicitation date March 2, 2019, the bidder is not a "willful" violator, as defined in <br /> RCW 49.48,082, of any provision of chapters 49.46, 49.48, or 49.52 RCW, as determined <br /> by a final and binding citation and notice of assessment issued by the Department of Labor <br /> and Industries or through a civil judgment entered by a court of limited or general <br /> jurisdiction. <br /> I certify under penalty of perjury under r the laws of the State of Washington that the <br /> foregoing is true and correct. <br /> e,vk sr 1,Q.0 <br /> ekowv..w <br /> Bidder's Business Name <br /> Sig ure of Authorized Official* <br /> JOc nye �. We s(. � l <br /> Printed Name <br /> Title <br /> Date City State <br /> Check One: <br /> Sole Proprietorship 0 Partnership 0 Joint Venture 0 Corporationg <br /> State of Incorporation, or if not a corporation, State where business entity was formed: <br /> \Aht5htA5foh <br /> If a co-partnership, give firm name under which business is transacted: <br /> Provided to Builders Exchange of WA, Inc. For usage Conditions Agreement see www.bxwa.com - Always Verify Scal <br />