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Exhibit G -1(a) Certification of Consultant <br />I hereby certify that I am the and duly authorized representative of the firm of <br />whose address is <br />and that neither the above furn nor I have: <br />a) Employed or retained for a commission, percentage, brokerage, contingent fee, or other consideration, <br />any firm or person (other than a bona fide employee working solely for me or the above CONSULTANT) <br />to solicit or secure this AGREEMENT; <br />b) Agreed, as an express or implied condition for obtaining this contract, to employ or retain the services of <br />any firm or person in connection with carrying out this AGREEMENT; or <br />c) Paid, or agreed to pay, to any Bron, organization or person (other than a bona fide employee working solely <br />for me or the above CONSULTANT) any fee, contribution, donation, or consideration of any kind for, or in <br />connection with; procuring or carrying out this AGREEMENT; except as hereby expressly stated (if any); <br />I acknowledge that this certificate is to be furnished to the <br />and the Federal Highway Administration, U.S_ Department of Transportation in connection with. this <br />AGREEMENT involving participation of Federal -aid highway funds, and is subject to applicable State and <br />Federal laves, both criminal and civil- <br />-Jacobs Engineering Group Inc. <br />Consultant (Firm Name) <br />i <br />_. C" � "_�_ r signature (Authorized 0frVai of Consulbnt) <br />Date <br />Agreement Number. <br />WSDQT Form 140-089 EF Exhfblt 6 page 1 of } <br />