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Stantec Consulting Services, Inc. 5/9/2016
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Stantec Consulting Services, Inc. 5/9/2016
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Last modified
5/27/2016 11:35:48 AM
Creation date
5/27/2016 11:35:40 AM
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Contracts
Contractor's Name
Stantec Consulting Services, Inc.
Approval Date
5/9/2016
End Date
12/31/2016
Department
Public Works
Department Project Manager
Ryan Sass
Subject / Project Title
On-call Surveying Services
Tracking Number
0000094
Total Compensation
$85,000.00
Contract Type
Agreement
Contract Subtype
Professional Services
Retention Period
6 Years Then Destroy
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Exhibit M-2 <br /> Certification Regarding Debarment, Suspension, and Other Responsibility <br /> Matters-Primary Covered Transactions <br /> I. The prospective primary participant certifies to the best of its knowledge and belief,that it and its <br /> principals: <br /> A. Are not presently debarred,suspended,proposed for debarment,declared ineligible,or <br /> voluntarily excluded from covered transactions by any federal department or agency; <br /> B. Have not within a three-year period preceding this proposal been convicted of or had a civil <br /> judgment rendered against them for commission or fraud or a criminal offense in connection with <br /> obtaining,attempting to obtain,or performing a public(federal, state,or local)transaction or <br /> contract under a public transaction;violation of federal or state antitrust statues or commission of <br /> embezzlement,theft,forgery, bribery,falsification or destruction of records,making false <br /> statements,or receiving stolen property; <br /> C. Are not presently indicted for or otherwise criminally or civilly charged by a governmental <br /> entity(federal, state,or local)with commission of any of the offenses enumerated in paragraph(I) <br /> (B).of this certification; and <br /> D. Have not within a three(3)year period preceding this application/proposal had one or more <br /> public transactions(federal,state,or local)terminated for cause or default. <br /> II. Where the prospective primary participant is unable to certify to any of the statements in this <br /> certification,such prospective participant shall attach an explanation to this proposal. <br /> Consultant(Firm): S it.ThZ r, vSvc ,�t=f'vl4cj .rwf <br /> r , 201214 i� <br /> (Date) (Signature)President or Authorized Official of Consultant <br /> DOT Form 140-089 EF Exhibit M-2 <br /> Revised 6/05 <br />
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