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23A - PROJ - ELECTRIC PARK
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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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Dec.15.2016 03:11 PM <br />EXHIBIT 17 <br />CERTIFICATION OF UNDERSTANDING <br />AND AUTHORIZATION <br />i <br />Project Name: <br />Project'Ntunbar: <br />PAGE. 1/ 1 <br />This is to certify that tli.e principals and,tlie authorized payroll officer, below, have read and understand the labor <br />standards clauses pertaining to the subject project, <br />I <br />The following persons) is designated as the payroll officer for the undersigned and is authorized to sign the <br />Statement of Cot'npl.iarce, whieh will accompany our weekly certified payroll reports for this project: <br />Payroll Officer's Namo -.. <br />yroll Of'ficer's Signature <br />qr-N c. - q:: C c:i.L <br />C ontraotor /Subcontractor <br />by <br />�\ attixe <br />Printed Name <br />Title <br />Date <br />Contractor /Subcontractor License No. <br />bl- (41Q6 <br />DUNS Number <br />23A -66 <br />
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