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CERTIFICATION Y BIDDER <br />City of La Forte Ordinance 98-2217 prohibits any expenditure for geode or services by the <br />City of La Kerte from any person, firm, or corporation owing any delinquent indebtedness to <br />the City. The undersigned bidder further certifies that it is in compliance with the requirements <br />of Bald `ordinance. A copy of the ordinance may be obtained by contacting the City of La Porte <br />Purchasing Division at 281470-5928, <br />If undersigned bidder is not in compliance with Ordinance 98-2217, it hereby assigns to the <br />City of 'La Forte, the amount of its delinquent indebtedness to the City of La Porte, to be <br />deducted by the City of La Forte from the amounts due the undersigned. <br />Failure to remit this certification with the bid, or non-compliance with said ordinance shall b <br />lust cause for rejection or disqualification of bid. <br />Z,The'undersigned hereby certifies that it is in compliance with Ordinance 98-2217. <br />nr <br />The undersigned assigns to the City of La Forte, the amount of its delinquent <br />indebtedness, to be deducted by the City of La Porte from the amounts due the <br />undersigned. <br />(Initial one of the above) <br />usiiness' Na e: y <br />Address: <br />CS- i - <br />Authorized Signature: <br />Printed Name: <br />,Date: <br />