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'Moorospeouvepartiolpodtvordfles, by signiitg and sabmixEing this l tt ofpmvosol, lathe beet orwovher <br />howledgo and belkt (hot: <br />I. No Word oppmptiolod funds have boon patd or will bapaid, by Or oil bohalroftho Undersigned, to <br />atlY tVfxOh fof JiMuctiolog 0 Attamong to Influence an officer or omployee. ofmy federal Apacy, I <br />Member of CovAross, an offloor or employee of Copposo, or on omployee o—fit t <br />z * <br />Oor of Qongvesl <br />In ommoution. vdth the evverding ofany foderal vonbic4 the makfi* ofaqy Werdl grant the maldog <br />.Qf any <br />Werajoan. WoorIng into Ofghy cooperative Moment, gild thDodonsion, ounflowon, <br />2. If a—Yft* Otbor.theAAWOM apinoPrIated funds have been paid or will be palls to anyp M.Mfor <br />liffixtenclagor attempting.to, Influence wyolumer employee of ocyWpol 48MMY, fk:gejnbevof <br />shall conipled and submit a4VISOlosuro oMb bying AeOvIdesI, <br />M coftR..dortis;amateriat.ropt°esonttitioli.orhatepon MUchrollance was placed when 999 tratuactlonwas ma& <br />or emoted into. Submisdon.ofthts cordfloationis.s, pwrequisite for making or entering Into:ft i so.aaotlwlmpused <br />by Section 1352, Title M, U S. Code. Mwperson who Bails to-filetherequired <br />penalty offiot less than $10,00 and not werethart$100,000 JbMob sgeh Njure, <br />Tim prospootivotpas ticipant also agroos bysubjOitting his or hor bid of PtOp6sat that be of she. sholl re4ulrolbat the <br />lempAg6ef M. Oottilloddolfbaigoluded In uIllower tier oubcoatrhota, which exceed$IOD,000 and that all such sub <br />recipients shall cdOyand disclose weardipgly. <br />Signed avdPdmod Name: <br />1,100 <br />L)atc Morch 16, 2018 <br />UFA <br />57t..4& 6%d <br />A3-.2 <br />25E-188 <br />