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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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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/7/2020
Destruction Year
2025
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BhWB1T 17 <br />CERTIFICATION OF UNDERSTANDING <br />Project Name: _ Residential Street Repair Program Henniger Neighborhood <br />Project Number: <br />This is to certify that the principals and the authorized payroll officer, below, have read and understand the Minutes <br />of the PreconstmaLon Conference and the 4ahm standards rlause4 V Attw+si"4ta t.h.R vlha rl grfyprt_ <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 />F.0QC9WWPSVCSW 0FORMSMaU5aXAW-Swh 3Sp .WC <br />Taylor Heneey <br />Payroll Officer's Name <br />Signature <br />Darren Veltz <br />Printed Name <br />Title <br />4/7/2020 <br />Date <br />776306 <br />Contractor/Subcontractor License No. <br />607851487 <br />DUNS Number <br />23A-50 <br />
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