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C�eclar�tion <br /> �t�le R�+�prietor �ert�ficatian <br /> This is to certify ttt�i I, .�,..,��,,,�.. ww�"``iD� . am a so�e propriefio�r <br /> and my busirtiess t�as no e�mpl�y�ess. Shouid tt�ss �'s atrori change and I hire <br /> e�byees, i v�iil not�fy th�City at'Redtir+Foo�i City ten �1 tl y d�ys pri��to tt�date af <br /> change ar�d, by that sarrre tirne, otrt�in ai! Waicer's Cornpensativn andlor <br /> Empby� liat�ili�+y insurarx�e �requlrerd by the Professianai Serv�s Ag�eec�►ent <br /> betr�nee� mjrself �tt�d the City of Redw+aad City ft�r Consuiting Se�ri+css for a(n} <br /> ��.�.`�r'����,o[��g.� Project. <br /> Qated: o�tQ "3�.2012 ar � <br /> �3����� AISTriC • <br /> !��t�i a�.�'C.� 'i�w� � �f <br /> cc�a�y r��� ��c�;.{��c�,1'0.t�rectS'ant�la�� <br /> Adclress�'{3$0'� �'j� �.�,�,.�..�C��} � <br /> P'hone# t�,,,;a. �� . �t'�� Q � �a��T <br /> w <br /> I <br />