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Exhibit M-1(a) <br /> Certification Of Consultant <br /> Project No. Surveying <br /> Local Agency <br /> I hereby certify that I am / SL_ 7DC �¢-ny and duly authorized <br /> representative of the firm of 5/7?/46.01.111-77.1/4 : &WO'Ct ,471/C whose address is <br /> /1/30 Ale- 33" 44-cer . "ie 2OV lSCc f�Y;,/C ��� and that neither I nor the above <br /> firm I here represent has: <br /> (a) Employed or retained for a commission,percentage,brokerage,contingent fee, or other <br /> consideration,any firm or person(other than a bona fide employee working solely for me or the <br /> above CONSULTANT)to solicit or secure the AGREEMENT; <br /> (b) Agreed, as an express or implied condition for obtaining this contract,to employ or retain the <br /> services of any firm or person in connection with carrying out this AGREEMENT; or <br /> (c) Paid,or agreed to pay,to any firm,organization or person(other than a bona fide employee <br /> working solely for me or the above CONSULTANT)any fee,contribution,donation,or <br /> consideration of any kind for,or in connection with,procuring or carrying out this AGREEMENT; <br /> except as hereby expressly stated(if any); <br /> I acknowledge that this certificate is to be available to the Washington State Department of <br /> Transportation and the Federal Highway Administration,U.S.Department of Transportation in <br /> connection with this AGREEMENT involving participation of Federal-aid highway funds,and is <br /> subject to applicable State and Federal laws,both criminal and civil. <br /> 4. 02. 264, <br /> 6ate Signature <br /> DOT Form 140-089 EF Exhibit M-1(a) <br /> Revised 6/05 <br />