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23A - PROJ - ELECTRIC PARK
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03/21/2017
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23A - PROJ - ELECTRIC PARK
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Last modified
3/16/2017 4:00:09 PM
Creation date
3/16/2017 3:49:07 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
3/21/2017
Destruction Year
2022
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A <br />EXHIBIT 17 <br />CERTIFICATION OF UNDERSTANDING <br />AND AUTHORIZATION <br />Project Name; PACIFIC ELECTRIC PARK <br />Projcot Number: 14 -7513 <br />This is to certify that the principals and the authorized payroll officer, below, have read and understand the labor <br />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 ottr weekly certified payroll reports for this project: <br />Payro tYloar's Na it <br />ear <br />P toll tifficor's Signature <br />�,��ttV1G (1Gi <br />C;ontrnctnr / nbcontrno r <br />_- Sigt'iaturc <br />•M <br />_ C Ack f -V <br />Printed Name <br />Titic f <br />Date <br />Contraotor/ ubcontractorLicenseNo, <br />"�0 all <br />DUNS Number <br />F:\0 OCS \PROPSVCS1HUQFORMMM005BO4AMB Section3Specs.COC 23A-61 <br />
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