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23A - PROJ - STREET REPAIR
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07/05/2017
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23A - PROJ - STREET REPAIR
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Last modified
6/29/2017 2:54:33 PM
Creation date
6/29/2017 2:48:12 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
23A
Date
7/5/2017
Destruction Year
2022
Document Relationships
GENTRY GENERAL ENGINEERING, INC.,
(Message)
Path:
\Contracts / Agreements\ PROJECTS
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17 <br />CERTIFICATION OF UNDERSTANDING <br />AND AUTHORIZATION <br />Project Name: &4"?, V aw4,- <br />Project Number. 1-7 —f� P -P— i s 693rn <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 authorizcd to sign the <br />Statement of Compliance, -which will accompany our weekly certified payroll reports for this project: <br />Payroll Officer's Name <br />Payroll Officer'b,,Signature <br />Contractodgubcontractor <br />by <br />Signature <br />Printed Name <br />Title <br />4'6s an <br />Date <br />°I --�`I � <br />Contractor/Subcontractor License No. <br />53 G 6-30 1 <br />DUNS Number <br />P:kWCMPNOPSVOMUDFOWS�MBU5e04AM6-Se dMZSjI8L DOG 23A-51 <br />A <br />
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