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Certification of Compliance with Wage <br /> kilefE:!,47"7- Payment Statutes <br /> I <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 the laws of the State of Washington that the <br /> foregoing is true and correct. <br /> Bidder's Business Name <br /> Signature of Authorized Official* <br /> Printed Name <br /> Title <br /> Date City State <br /> Check One: <br /> Sole Proprietorship ❑ Partnership ❑ Joint Venture ❑ Corporation ❑ <br /> 1 <br /> State of Incorporation, or if not a corporation, State where business entity was formed: <br /> If a co-partnership, give firm name under which business is transacted: <br /> I <br /> 1 <br />