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<br /> <br />7550 Sunwood Drive NW. Ramsey, Minnesota 55303 <br />City Hall: 763-427-1410 · Fax: 763-427-5543 <br />www.ci.ramsey.mn.us <br /> <br />May 31, 2007 <br /> <br />Purchasing Department <br />Blue Cross Blue Shield Minnesota <br />3535 Blue Cross Road <br />Eagan, MN 55122 <br /> <br />The undersigned certifies that the best of her knowledge, there is no officer or employee <br />of Blue Cross Blue Shield Minnesota (Blue Cross) who has, or whose relative has, a <br />substantial interest in any contract award subsequent to this proposal. <br /> <br />The undersigned further certifies that our organization is not currently debarred, <br />suspended, or proposed for debarment by any federal entity. The undersigned agrees to <br />notify Blue Cross of any change in this status, should one occur, until such time as an <br />award has been made under this procurement action. <br /> <br />Then undersigned also certifies that our organization (including any employee or <br />contactor affirm) has not offered or provided (and will not offer or provide) any gifts, <br />gratuities, or other considerations to any Blue Cross employee for purposed of inducing <br />Blue Cross to accept its proposal. <br /> <br />In compliance with RFP #523 for Active Community Planning, and after carefully <br />reviewing all the terms, condition, and requirements contained therein, the undersigned <br />agrees to furnish such goods/services in accordance with the specifications/scope of <br />work. <br /> <br />City of Ramsey <br />7550 Sunwood Drive <br />Ramsey, MN 55303 <br /> <br />763-427-1710 <br /> <br />Federal rD # 41-09-10467 <br /> <br />Breanne DaInes <br /> <br /> <br />Associate Planner <br /> <br />-208- <br />