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W"VATMID111 I <br />STATE OF <br />SS: <br />COUNTY <br />1. Contractor has not, nor has any other member, representative, or agent of the firm, <br />conrva cor:poration or Inlnershiy re-yuresented bu him� 111111 11' " " I,, "1 11:1,11: <br />or agreement with any person relative to the price to be bid by anyone at such letting nor to <br />prevent any person from bidding nor to induce anyone to refrain from bidding, and that this bid <br />is made without reference to any other bid and without any agreement, understanding or <br />combination with anTiL_o�er -,�.erson in �reference to �such bbiding. Contractor further sa,,,,s that no <br />I-s)crson or persons, firins, or corporation has, have or will receive directly or indirectly, any <br />rebate, fee, gift, commission or thing of value on account of such sale; and <br />2. Contractor certifies by submission of this proposal that neither contractor nor any of its <br />r�principals are presently debarred, suspended, proposed for debarment, declared ineligible, or <br />3. Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in <br />investment activities in Iran. <br />a. For purposes of this Certification, "Iran" means the government of Iran and any agency or <br />instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from <br />time -to -time. <br />b. As provided by Ind. Code § 5-22-16.5-8, as amended from time -to -time, a Contractor is <br />engaged in investment activities in Iran if either: <br />i. Contractor, its successor or its affiliate, provides goods or services of twenty million <br />dollars ($20,000,000) or more in value in the energy sector of Iran; or <br />ii. Contractor, its successor or its affiliate, is a financial institution that extends twenty <br />million dollars ($20,000,000) or more in credit to another person for forty-five (45) <br />days or more, if that person will (i) use the credit to provides goods and services in <br />