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STATE AND FEDERAL REQUIREMENTS AFFIDAVIT OF PRIME BIDDER <br />, being first duly swom, deposes and says that: <br />By: <br />1. He/She is Le) yc...c= ~-ZH i779X4z_of the <br />Bidder that has submitted that attached Bid{s}: <br />2. He/She is fully informed respecting the prepararion 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. GSA/HUD/GOA) list of debarred, suspended and <br />ineligible contractors and grantees: <br />4. Neither the said Bidder nor any of its offcers, parmers, owners, agents, representatives, <br />employees, or parties in interest, including this affidavit, is listed on any federal, state, or <br />local ( i.e. GSA/HUD/GAO) list of debarred, 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 aad state equal <br />employment, affirmative action and non-discrimination regulations. <br />Ticte: /.I - LTA v e/ -z - <br />