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STA'FE AND FEDERAL REQUIREMENTS AFFIDAVIT OF PRIME BIDDEI2 <br />1-)6 yz being first duly sworn, deposes and says that: <br />4`hof ~Hrrt4/-6~rr1~~C-S the <br />1. HeJSheis L~Y&L: ~-Zq ipyk <br />Bidder that has submitted that attached Bid(s): <br />2. He/She is fully informed respecting the preparation and contests of the attached Bid(s) <br />and of all pertinent circumstances respecting such Bid(s). <br />3. Bidder attests that he/she, the firm, or any current principal of their firm is not listed on <br />any federal, state or local ( i.e. GSAlHUD/GOA) list of debarred, suspended and <br />ineligible contractors and grantees: <br />4. Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, <br />employees, or parties in interest, including this affidavit, is listed on any federal, state, or <br />local (i.e. GSA/HUDJGAO) list of debarrad, suspended, and ineligible contractors and <br />grantees: and <br />5. Bidder and any of its officers, partners, owners, agents, representatives, employees, or <br />parties in interest, including this affidavit, attests compliance with the U.S. Department <br />of Labor, U.S. Fair Labor Standards Act, U.S. Occupation Safety Health Act (OSHA), <br />U.S. Environmental Protection Agency, Texas Department of Housing and Cammunity <br />Affairs and that your firm meets and will enforce all federal and state equal <br />ernployment, affirmative action and non-discrimination regulations. <br />By: <br />Tit1e• <br />- ~ 190 <br />