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Agmt13 Alta Planning and Design FHWA/CALTRANS Funded
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Agmt13 Alta Planning and Design FHWA/CALTRANS Funded
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Last modified
4/4/2013 1:16:00 PM
Creation date
4/4/2013 1:15:57 PM
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Agreement
Contractor Name
Alta Planning and Design FHWA/CALTRANS Funded
PROJECT NAME
RWC Safe routes to school walk and bike assesments
RMP File Number
304
Date
3/28/2013
MO Ref
13-060
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EXHIBIT "D" <br /> Certifications <br /> EXIdIBI"C10-F C'�RTIFICA"I�IQNOFC'ONSUL'ir�N'(',COb1MtSSIO2YS6c�EE5 <br /> I F�7ERESY CTRTII'Y that I am thc I�RPb p.,O.TE �7�G RET�Rti ,and dul_y authorixed <br /> re{n�esentative of the firm of �f- S �r h�— who»e addrosa is <br /> .��1 �iE G�[YQ�'1 G� �°+'YQ 3 Perl-Ianc( t U(Z a'�-Z I .and that.cxcrnt as horoby <br /> capresaly xtaietl,neiChcr i nor[fia above Firm that t reprenant have: <br /> <ay empl<rycd or rctainCJ f'c�r a commixsion,}�ercontage,tm�keragc,cantingcnt feq or od�cr aon.cidcra�icm, <br /> any fian or pcsrraon(other than a bona tidc employee working so/¢ly for me or the ahove eonsultani)to <br /> solicii or sccure thix agreement;nor <br /> (b) agroad,a4:u�erpress vr implied conditinn for nbtaining thi.en�traet,to empiay or Tetain tho services <br /> of any Frm or perYOn in connaction with cartying out the agrcornent,nvr <br /> (e) pafct,or agreed ko pay,ta any 6rm,arganizatian or porson(oth�r tlian a 6ans flde employee working <br /> xotely Por me or the aiwve consullant}any(ee,conhibulicm,donation,vr c<maideratirm of any kind,Far or <br /> in�nnnec�i�n with,procuri»g or ca�rying aut this agreement. <br /> [acknowlodge that thi»Certificate is w bc made availabie to thc Calif"omia[>epartment ofTranspanatiot� <br /> (Cat�r:ina)in uonncction with thix agreemant involving parrieipation of Fedcral-aid FIighway fundx,aod is xubject <br /> to applicable state and faderal taws,ba[h criminal and civit. <br /> �• t �h- l 3 �1'��"7�`' •�,, ���,_.--- <br /> (I�atc) � (Signatucc) <br /> Ulstl'ii)utiOn: l 1 L�al Agn�y fl'jec[F�i1c(�Jri{a,inal.W,Cawrtract> <br /> 2)DLAf?(wf[h conhacf copyl <br /> ATTY/AGR/2013.039/FHWA CALTRANS FUNDED PROFESSIONAL AGR WALK BIKE ASSESSMENTS <br /> REV:03-14-13 VR <br /> Page 27 of 30 <br />
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