ATTACHMENT D1 Wage Cert.docx.pdf

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Attached to
DAIRY PRODUCTS
Solicitation number
RFP# 2024-07-17
Issued by
King County, Snohomish County, Kingston CDP, Snohomish City, Washington

About this file

This document is an attachment (Attachment D1) to a Request for Proposals (RFP) issued by the Northshore School District No. 417 for Dairy Products. The RFP seeks bids from qualified contractors to supply dairy products for the District's Food & Nutrition Services Department throughout the school year. The contract term is 1 year with the option to renew annually for up to 4 additional years. Bids are due by July 17, 2024. The document includes a contractor certification that the bidder has not willfully violated Washington's wage laws within the past 3 years, as required by state law to be considered a responsible bidder.

The RFP covers deliveries to schools within King County, Snohomish County, and the Kingston CDP and Snohomish City jurisdictions in Washington. No other pricing, set-aside, incumbent, or funding details are provided in this attachment.

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Text version

NORTHSHORE SCHOOL DISTRICT NO. 417

BIDS DUE: 07/17/2024

DAIRY PRODUCTS RFP# 2024-07-17

ATTACHMENT D1

CONTRACTOR CERTIFICATION

Wage Theft Prevention – Responsible Bidder Criteria Northshore School District Goods & Services

Contracts

Prior to awarding a contract, Northshore School District is required to determine that a bidder is a ‘responsible bidder’. Pursuant to legislative enactment in 2017, RCW 39.26.160(2) & (4) requires responsible bidder criteria to include contractor certification that the contractor has not willfully violated Washington’s wage laws.

On behalf of the firm identified below, I hereby certify as follows (check one):

¨ No Wage Violations. This firm has NOT been determined by a final and binding citation and notice of assessment issued by the Washington Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of RCW chapters 49.46, 49.48, or 49.52within three

(3) years prior to the date of the above-referenced procurement solicitation date.

or

¨ Violations of Wage Laws. This firm has been determined by a final and binding citation and notice of assessment issued by the Washington Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, a provision of RCW chapters 49.46, 49.48, or 49.52 within three (3) years prior to the date of the above-referenced procurement solicitation date.

I hereby certify, under penalty of perjury under the laws of the State of Washington, that the certifications herein are true and correct and that I am authorized to make these certifications on behalf of the firm listed herein.

Firm Name:

Name of Contractor/Bidder – Print full legal entity name of firm

By:

Signature of authorized person Print Name of person making certifications for firm

Title: Place:

Print city and state where signedTitle of person signing certificate

Date:

http://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 http://app.leg.wa.gov/RCW/default.aspx?cite=49.46 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48 http://app.leg.wa.gov/RCW/default.aspx?cite=49.52 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 http://app.leg.wa.gov/RCW/default.aspx?cite=49.46 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48 http://app.leg.wa.gov/RCW/default.aspx?cite=49.52

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