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ATTY/AGR/2016.250/RELOCATION ASSISTANCE CONSULTANT AGREEMENT <br />REV: 09-07-16 VR <br />Page 18 of 18 <br />CERTIFICATE OF CONSULTANT <br />I HEREBY CERTIFY that I am the _________________________________ , and a duly <br />authorized representative of the firm of _______________________________________ , whose <br />address is ______________________________________________________ , and that neither I <br />nor the above firm I here represent has: <br />a) Employed or retained for a commission, percentage, brokerage, contingent fee, or <br />other consideration, any firm or person (other than a bona fide employee working <br />solely for me or the above consultant) to solicit to secure this Agreement. <br />b) Agreed, as an express or implied condition for obtaining this contract, to employ or <br />retain the services of any firm or person in connection with carrying out the <br />Agreement; or <br />c) Paid, or agreed to pay, to any firm, organization or person (other than a bona fide <br />employee working solely for me or the above consultant) any fee, contribution, <br />donation, or consideration of any kind for, or in connection with, procuring or <br />carrying out the Agreement; <br />Except as here expressly stated (if any); <br />I acknowledge that this certificate is subject to applicable State and Federal laws, <br />both criminal and civil. <br />Date Signature <br />6.1.C. - Page 22