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<br />CITY OF LA PORTE <br />CERTIFICATION BY BIDDER <br /> <br />City of La Porte Ordinance #98-2217 prohibits any expenditure for goods or services by the City <br />of La Porte from any person, firm, or corporation owing any delinquent indebtedness to the City. <br />The undersigned bidder further certifies that it is in compliance with the requirements of said <br />ordinance. A copy of the ordinance may be obtained by contacting the City of La Porte <br />Purchasing Division at 281-470-5126. <br /> <br />If undersigned bidder is not in compliance with Ordinance 98-2217, it hereby assigns to the City <br />of La Porte, the amount of its delinquent indebtedness to the City of La Porte. to be deducted <br />by the City of La Porte from the amounts due the undersigned. <br /> <br />Failure to remit this certification with the bid, or non-compliance with said ordinance shall be just <br />cause for rejection or disqualification of bid. <br /> <br />l 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 <br /> <br />undersigned. <br />(Initial one of the above) <br /> <br />Business Name: <br /> <br />AmeQY Bank of Texas <br /> <br />Address: <br /> <br />4400 Post Oak Parkway <br /> <br />Printed Name: <br /> <br />_~~~~.I!!: ::d ......//;/ <br />( -=~5;; S ~;:--~"-:;,/ <br /> <br />Authorized Signature: <br />Date <br /> <br />AUQust19,2010 <br /> <br />7 <br />