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SERVICE PROVIDER: Please fill in the spaces and <br /> sign in the box appropriate for your business entity. <br /> CITY OF EVERETT, Corporation //��-� n A n <br /> WASHINGTON el3 M. inG. CiV1a W Q�/l ,Hfrilkpi 5 <br /> [Service Pro i ide, t omplete Legal-Name] J <br /> A v47 <br /> r � <br /> By: .. <br /> 111. <br /> C ,Mayor pro ten-) Type. 'rinted Name: SarztVi fad. Q <br /> L4 )v,et- C{ Its: Qn,nu Pal. <br /> Date: 61y /79101 <br /> Date <br /> ATTEST: Partnership <br /> (general) <br /> A <br /> �,^ ,0 r [Service Provider's Complete Legal Name] <br /> W I D a Washington general partnership <br /> k4/104 <br /> aron Fuller,City Clerk <br /> t/J S j By: <br /> Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> APP' •VED AS TO FORM: Partnership <br /> (limited) [Service Provider's Complete Legal Name] <br /> /� � , / a Washington limited partnership <br /> James D. Iles, City A- • -y <br /> By: <br /> 112 0 Typed/Printed Name: <br /> Date General Partner <br /> Date: <br /> Sole <br /> Proprietorship <br /> Typed/Printed Name: <br /> Sole Proprietor: <br /> Date: <br /> Limited <br /> Liability [Service Provider's Complete Legal Name] <br /> Company a Washington limited liability company <br /> By: <br /> Typed/Printed Name: <br /> Managing Member <br /> Date: <br /> Page 8 <br /> RFP#2019-017 Asset Condition Assessment Professional Services Agreement Short Form <br />