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City of Eugene /State of Oregon -Dept. of Transportation <br /> Agreement No. 25,384 <br /> For purposes of Exhibits B and C, references to Department shall mean STATE, references to Contractor <br /> shall mean AGENCY, and references to Contract shall mean Agreement. <br /> EXHIBIT B (Local Agency or State Agency) <br /> CONTRACTOR CERTIFICATION <br /> Contractor certifies by signing this Contract that Contractor has not: <br /> (a) Employed or retained for a commission, percentage, brokerage, contingency fee or other <br /> consideration, any firm or person (other than a bona fide employee working solely for me or the <br /> above Contractor) to solicit or secure this Contract, <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 the Contract, 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 Contractor), any fee, contribution, donation or consideration <br /> of any kind for or in connection with, procuring or carrying out the Contract, except as here <br /> expressly stated (if any): <br /> Contractor further acknowledges that this certificate is to be furnished to the Federal Highway <br /> <br /> Administration, and is subject to applicable State and Federal laws, both criminal .and civil. <br /> DEPARTMENT OFFICIAL CERTIFICATION <br /> Department official likewise certifies by signing this Contract that Contractor or his/her representative has <br /> not been required directly or indirectly as an expression of implied condition in connection with obtaining <br /> or carrying out this Contract to: <br /> (a) Employ, retain or agree to employ or retain, any firm or person or <br /> (b) pay or agree to pay, to any firm, person or organization, any fee, contribution, donation or <br /> consideration of any kind except as here expressly stated (if any): <br /> Department official further acknowledges this certificate is to be furnished to the Federal Highway <br /> <br /> Administration, and is subject to applicable State and Federal laws, both criminal and civil. <br /> Exhibit C <br /> Federal Provisions <br /> Oregon Department of Transportation <br /> CERTIFICATION OF NONINVOLVEMENT IN ANY DEBARMENT AND SUSPENSION <br /> Contractor certifies by signing this Contract that to the best of its knowledge -and belief, it and its <br /> principals: <br /> _Page 12 of 19 <br /> <br />