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Exhibit'C' <br />FORM OF PROPOSAL <br />Page 5 of 13 <br />8828 <br />00131-5 <br />THE BIODER OR OFFEROR, Pence/Kelly ~ C~~Fl~ OR AFFIRN~S YFIE TRUTHFULNESS AND <br />ACCURACY OF EACH STATEMENT OF ITS CER71FlCATION AND 0{SCLOSURE. IF ANY. IN <br />~UD,m$,C~~ 0 roET SE4 APPF LYRTO THIS ~CERTIFICA'IION AN 0 SCLOSURE~ IFRpO~ Y(SIONS OF <br />Signature of the Bidder or Offero~'s Authorized Offidai <br />Te,-rv xe i? y. v.?• t~ame and Titie of the Bidder or Offerors Authorized Offidal <br />2/4/99 Date <br />DBE APPROVAL CERTlF1CAT10N <br />1 hereby ceRify that the Offeror has compiied with the ~eclutnemerrts of 49 CFR 23.67. I~artidpation by <br />D~~ g~ ~~ ~ ppT pr,ograrr~s, and that its goals have not been disapproved by the <br />Federal Traasit Adm~ni~on. <br />Signature of the Bidder or Offemt's Authorized Offidat <br />Terry Kelly , v. P. Name and Title of the Bidder o~ Offero~"s Authocized Official <br />2/4/q9 Oate <br />~ <br />~` <br />