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FULL PACKET_2018-06-19 (INCLUDES 25E EXHIBITS)
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FULL PACKET_2018-06-19 (INCLUDES 25E EXHIBITS)
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4/28/2022 11:35:42 AM
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6/18/2018 5:17:45 PM
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City Clerk
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Agenda Packet
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Clerk of the Council
Date
6/19/2018
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The pro"ott"parficiparitcartiffe; by signing and sohmlitingibla bid or proposal, to flio best of his or her <br />lonowledgo and belief, that: <br />I. No federal appropriated fends havaboon paid or will be paid, by or on behalf of the undersigned, to <br />any person for influenclog or attempting to Itanerjee an ofacor or employee of f ag <br />any ederal anoy, a <br />Member of CorWees, an Officer or employee of Congress, or an employee of a Member of Congress <br />In ODWOWOn with the awarding of any foderal contract, the malcing of any federal grant the making <br />OfanY federal loan, the vatering Into of any cooperative agreement, mid the agenslon, continuation, <br />renewal, amendment, or modification of any federal contract, grant, loan, or coopejaVve agreeroft <br />2, If any finds other than federal appropriated fands have been paid or wUl be paid to ony person for <br />influencing or attempting to Muence any officer up employep of any flederal agency, a Member of <br />Congress, An officer Or employee Of Cougress, or an employee of a Member of Congress; in <br />connection with this federal contract, grant loan, loan or cooperjAM agreement, the undersigned <br />sWl complete and vubmit a "Disclosure of Lobb*g Aotivides", <br />INS codification Is amaterial representation of hot upon whiohroliance was placed when this transaction was made <br />Or entered into, Submission of this certification to a prerequisite firmaldiig or entering into this tranmajon imposed <br />byBecdon 1352, Title 3 1, U. S. Us, Any person who fails to file the ftqWrod wrtification s1Wl be subject to I& civil <br />Penally Oftot Ion than $ 10,000 and not more than S 100,000 for each silo], biloro, <br />TbO PrOSPOOLIVO Participant also agrew by submitting his or her bid or proposal that he or silo shell reqcire that the <br />language of M cardfication be included In all lower tior subcontracts, which exceed sloopo and that 41 such $11b <br />recipients shall cordly and disclose accordingly. <br />yino liultt-Zollars, Inc <br />Signed and Printed <br />Title Office Manager and vice 1:)resident <br />j)ate March 20,2018 <br />78"et h"t. A"A"n "aR <br />Page A3-2 <br />25E-247 <br />
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