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2010/12/08 Council Agenda Packet
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2010/12/08 Council Agenda Packet
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Council Agenda Packet
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12/8/2010
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2 <br /> • <br /> Exhibit M-2 <br /> Certification Regarding Debarment, Suspension, and Other Responsibility <br /> Matters-Primary Covered Transactions <br /> 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 /> H. 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): TranTech Engineering,LLC <br /> / <br /> (Date) . (Signature)President or thorized Official of Consultant <br /> DOT Form 140-089 EF Exhibit M-2 <br /> Revised 6/05 <br /> 69 <br />
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