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5/12/2010 11:34:06 AM
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Y ~ <br />EXHIBIT D <br />AIP PROJECT NO. <br />PROJECT NO. <br />CERTIFICATION OF CONSULTANT <br />I hereby certify that I am the President and duly authorized represen- <br />tative of the firm of Federal-State Relocation Consulting Service, <br />whose address is 299 North Snelling, St. Paul, Minnesota 55104, and <br />that neither I nor the above named firm I herein represent has: <br />(a) employed or retained for a commission, percentage, <br />brokerage, contingent fee, or other consideration, any firm or person <br />(other than a bona fide employee working solely for me or the above <br />consultant) to solicit or secure this contract; <br />(b) agreed, as an express or implied condition for obtaining <br />this contract, to employ or retain the services of any firm or person <br />in connection with carrying out the contract, or <br />(c) paid or agreed to pay to any firm, organization, or person <br />(other than a bona fide employee working solely for me or the above <br />consultant) any fee, contribution, donation, or consideration of any <br />kind for, or in connection with, procuring or carrying out the con- <br />tract, except as herein expressly stated (if any): <br />I acknowledge that this certificate is to be furnished to the Federal <br />Aviation Administration of the United States Department of Transporta- <br />tion in connection with this contract involving participation of <br />Airport Development (AIP) funds and is subject to applicable state and <br />Federal Qlaws,~7both criminal and civil. <br />~/( ~ / '~ ~ ~ FEDERAL-STATE RELOCATION <br />Datell~ Q@NSULTING SERVICES A <br />Ti <br />
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