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23A - RES STREET REPAIR PROJECT
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23A - RES STREET REPAIR PROJECT
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Last modified
7/2/2020 4:38:18 PM
Creation date
7/2/2020 4:31:34 PM
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City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/7/2020
Destruction Year
2025
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EXHIBIT 17 <br />CERTIFICATION OF UNDERSTANDING <br />AND AUTHORIZATION <br />Project Name: _Residential Street Repair Program <br />Project Number. 20-7533 <br />This is to certify that the principals and the authorized payroll officer, below, have read and understand the Minutes <br />of the Preconstmction Conference and the labor standards clauses pertaining to the subject project. <br />The following person(s) is designated as the payroll officer for the undersigned and is authorized to sign the <br />Statement of Compliance, which will accompany our weeldy certified payroll reports for this project: <br />P:WMPROPSVG%HUO ORMS U5�AMB-SecloNS ..MC <br />Ana Raypon <br />Pa777-s e <br />PafroH Officer's Signature <br />Pavement Rehab Company <br />Contractor/Subcontractor <br />by <br />Signature <br />Tim Fitzpatrick <br />Printed Name <br />Project Manager <br />Title <br />7, 2020 <br />Date <br />)05 Vt�74 <br />Contractor/Subcontractor License No. <br />N JA, <br />DUNS Number <br />23A-48 <br />
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