October 15, 2012 - City of Laredo

October 15, 2012 - City of Laredo October 15, 2012 - City of Laredo

ci.laredo.tx.us
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DEBARRED BIDDERS STATEMENT The Contractor, including any of its officers or holders of a controlling interest, is obligated to inforin the City of Laredo whether or not it is or has been on any debarred bidders' list maintained by the United States Goveri~ment. Should the Contractor be included on such a list during the performance of this project, it shall so inform the City of Laredo. - Have been listed on a United States Govei-iime~lt debarred bidder's list. X 9 Have not been Iistcd on a United Statcs Govemrnellt debarred bidders' list. - Date: Signature: Name (typed or printed): Title: (typed or printed): Pr a y A I Laredo International Airport a Aircraft Rescue & Rre Fighting Building ent A-55 Division A - Debarsed Bidders Statement July 11,2012

1 RESTRICTIONS ON LOBBYING CERTIFICATION In accordance with 31 U.S.C. Section 1352, the Contractor hereby certifies that no Federal appropriated funds have been or will be paid by or on behalf of the Contractor, to any person for influencing or attempting to influence an officer or ernployee or any agency, a Member of Congress, an officer or employee of any Federal grant or loan, the entering info the cooperative agreement and ttr: extension, conti~luation, renewal, amendment, or modification of Federal contract, grant, loan or cooperative I agreement. If any funds other than Federal appropriated funds have been paid or will be paid to any person for jnfluencir~g or attempting to influence an officer or enzployee of any agency, a Member of Congress, an i l @ officer of Members of Congress in connection with this Federal contract,,grant, loan or cooperative f ! i agreement, the Contractor shall complete' and submit standard fonn LLL, "Disclosure Forin to Renort Lobbying", in accordance with its instructions. Titlc: (typed or printed): Preside Laredo International Airport Aircraft Rescue & Fire Fighting Building A-57 Division A - Restrictions on Lobbying Certification July 11,2012

1 RESTRICTIONS ON LOBBYING CERTIFICATION<br />

In accordance with 31 U.S.C. Section 1352, the Contractor hereby certifies that no Federal appropriated<br />

funds have been or will be paid by or on behalf <strong>of</strong> the Contractor, to any person for influencing or<br />

attempting to influence an <strong>of</strong>ficer or ernployee or any agency, a Member <strong>of</strong> Congress, an <strong>of</strong>ficer or<br />

employee <strong>of</strong> any Federal grant or loan, the entering info the cooperative agreement and ttr: extension,<br />

conti~luation, renewal, amendment, or modification <strong>of</strong> Federal contract, grant, loan or cooperative<br />

I<br />

agreement.<br />

If any funds other than Federal appropriated funds have been paid or will be paid to any person for<br />

jnfluencir~g or attempting to influence an <strong>of</strong>ficer or enzployee <strong>of</strong> any agency, a Member <strong>of</strong> Congress, an<br />

i l @ <strong>of</strong>ficer <strong>of</strong> Members <strong>of</strong> Congress in connection with this Federal contract,,grant, loan or cooperative<br />

f<br />

!<br />

i<br />

agreement, the Contractor shall complete' and submit standard fonn LLL, "Disclosure Forin to Renort<br />

Lobbying", in accordance with its instructions.<br />

Titlc: (typed or printed): Preside<br />

<strong>Laredo</strong> International Airport<br />

Aircraft Rescue & Fire Fighting Building<br />

A-57<br />

Division A - Restrictions on Lobbying Certification<br />

July 11,<strong>2012</strong>

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