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<br />CITY OF LA PORTE <br /> <br />CERTIFICATION BY BIDDER <br /> <br />City of La Porte Ordinance #98-2217 prohibits any expenditure for goods or services by the <br />City of La Porte from any person, firm, or corporation owing any delinquent indebtedness to <br />the City. The undersigned proposer further certifies that it is in compliance with the <br />requirements of said ordinance. A copy of the ordinance may be obtained by contacting the <br />City of La Porte Purchasing Division at 281-470-5126. <br /> <br />If undersigned proposer is not in compliance with Ordinance 98-2217, it hereby assigns to the <br />City of La Porte, the amount of its delinquent indebtedness to the City of La Porte, to be <br />deducted by the City of La Porte from the amounts due the undersigned. <br /> <br />Failure to remit this certification with the proposal, or non-compliance with said ordinance shall <br />be just cause for rejection or disqualification of proposal. <br /> <br />t- The undersigned hereby certifies that it is in compliance with Ordinance 98-2217. <br /> <br />or <br /> <br />The undersigned assigns to the City of La Porte, the amount of its delinquent <br />indebtedness, to be deducted by the City of La Porte from the amounts due the undersigned. <br /> <br />(Initial one of the above) <br /> <br />Business Name: <br /> <br />~'S ~~CAtf)l) I~)l.. <br />1A)&,O f~ ~~-tAAJ) fOAl) <br />~(3U~ GrN'. 'ftc 11~73 <br />/ <br /> <br />r;, t>,J <br /> <br />Address: <br /> <br />Printed Name: <br /> <br />Authorized Signature: <br /> <br /> <br />-- <br /> <br />Page 5 of 30 <br />