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• <br /> 2'5 <br /> Exhibit M-1(a) <br /> Certification Of Consultant <br /> Project No. Surveying <br /> Local Agency <br /> I hereby certify that I am and duly authorized <br /> representative of the firm of whose address is <br /> 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 /> Date Signature <br /> DOT Form 140-089 EF Exhibit M-1(a) 243 <br /> Revised 6/05 <br />