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When the prospective Contraceor is tinable to certdfy' to any of the statements below, it shaft rellach ati explanalion to this Affiefavil, <br />CONTRACTOR'S NON-CO1,LUSION AND NON-DEBARNIENI* AdNUMVIT, C1011FICATIONN <br />REGARDING INVIVSTNIEPIr INITtl IRAN, EMPLOYNIENT EIIGIBILFUY VERIFK41104, NON- <br />DISCRLVIIXATION CO MN11TNIENI' AND CTRORCAUON OF USE OF UNI'VED STATES S'I'EEI, <br />PRODUCTS OR FOUNDRY FRODUCT'S <br />(NIAM be wnip%d It all quotes and bi&. Platso type or print) <br />MXIVEW BAKER <br />STATI"GIF N014RY PUBLIC - STATE OF MICHIGAN <br />SS: COUNTY OF KALAMAZOO <br />COUNry My Commission Expires 03/05/2025 <br />Acting in the County of -V4- <br />The tmtkn)toed Conamcn; beirig duly SWOM LW on hNAcrIns cj,',,rLh, affurns tinder' the PCMA�i.iCS Of I)erjLRY <br />iW t: <br />k CwWuWr has wt, nor Was ar, uhn memkq mymm,ve, or ,,m of Hw Him, company, <br />cmpotriinun or parknershy repmiewd by A, ennead %) mV =19mW cul%nn or ymernma with <br />sul pawn mWku to the pidee to he bif by anyone m sneh IV% mm W iommm mq pawn hrai Wdtlkg <br />nob i.o induce oilywic ri,) m6ah IT= bW&n& and &a this bd k male NAM rdlamnee m any odwr 01 and <br />vvidtou' "'Iny "Agivemm" W%mmkg or combination with any other pason in rekivnce to sudi WddhG <br />Cardractni Nrthr s"s dua no persmo w pemmu, MW W corpmtiorl Q hoe w wM reed" WmWy m <br />indirecdy' alry reh ate, me. RM, cmnnission or Hong of vahe nn mcouro of mch soQ an(! <br />2. Coma achor =6% by wbmksWn oC Tk prupwW HM nWher MMMOm nu a" ofiN piriopls <br />are prnunHy %wreQ su*MIA prupwd Ar delnarnwA d=WmhnehgMN, or vohmlarky exckded Rorn <br />pa�ticijpation m. this ilansadion hyany Fedora) (b-'pwtnrenL oragcncy� and <br />3 COMT'ac(rn has no( nx W any soccessm, W, nor wi aflihate oC Conhuck, engaged in <br />irivestinctit activities in Iran, <br />a <br />0- illst'11nicinality of Irian, or as olawNe clefind at INW, Code § 025161.5, as <br />=Wnded nVrn W.Mome. <br />b. As provided by 110 Code § 5-22-16.5-8, as anicrided brom 6me-WOrric, a Cwtutor <br />is engaged in investrnent activities in [rail it' either: <br />i,, C0111.1"LIC(Or, its successor or its affiliate:, provides goods or services of twenly <br />0 nAllion dollars ($20,000000) or rnore in value in the energy sector or [on: <br />Or <br />it Car amcwq at; smccasor oz its allilhtq is a fin anc Whudon kni extends <br />twenty Wion dolWrs ($20,000,000) or "'lore in (;rcdkl lo, alloilicr JIVI-soll for <br />Any-nve (451 days ot rnum, i r duu junsmi wW me Me OWM 10 pMA&s <br />goods and servjcvs in Ole enorgy Sector hT hallo and (1i) at flic, finle &c <br />('Hi"nCiOl h1sti(t1fifAl CNIAnds MW k n pow himMmAn I ki publishml by <br />the Indhim Dejullownt orAdminknorlion, <br />Vekan N20QO 18 CwScAl Bird hr NN, Woos - 5 <br />