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<br /> <br /> Local Assistance Procedures Manual EXHIBIT 10-F <br /> Certification of Consultant, Commissions & Fees <br /> <br /> Exhibit 10-F Certification of Consultant, Commissions & Fees <br /> <br /> <br /> <br /> <br /> CERTIFICATION OF CONSULTANT <br /> <br /> <br /> I HEREBY CERTIFY that I am the ,and duly authorized <br /> <br /> representative of the firm of ,whose address is <br /> ,and that, except as hereby <br /> expressly stated, neither I nor the above firm that I represent have: <br /> <br /> (a) employed or retained for a commission, percentage, brokerage, contingent fee, or other consideration, <br /> any firm or person (other than a bona fide employee working solely forme or the above consultant) to <br /> solicit or secure this agreement; nor <br /> <br /> (b) agreed, as an express or implied condition for obtaining this contract, to employ or retain the services <br /> of any firm or person in connection with carrying out the agreement; nor <br /> <br /> (c) paid, or agreed to pay, to any firm, organization or person (other than a bona fide employee working <br /> solely forme or the above consultant) any fee, contribution, donation, or consideration of any kind, foror <br /> in connection with, procuring or carrying out this agreement. <br /> <br /> <br /> I acknowledge that this Certificate is to be made available to the California Department of Transportation <br /> (Caltrans) in connection with this agreement involving participation ofFederal-aid Highway funds, and is subject <br /> <br /> to applicable state and federal laws, both criminal and civil. <br /> <br /> <br /> (Date) (Signature) <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> Page 10-43 <br /> LPP 06-02 ~ May 1, 2006 <br />