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9828 - 00131-5 <br />THE BIDDER OR OFFEROR, ~ '~ER7IFIES OR AFFIRMS THE TRUTHFULNESS AND <br />ACCURACY OF EACH STATEMENT OF I S CERTIFICATION AND DISCLOSURE, IF ANY. IN <br />ADDI710N, THE BIDDER OR OFFEROR UNDERSTANDS AND AGREES THAT THE PROVISIONS OF <br />31 U.S.C. §§ 3801 ET SEQ. APPLY TO THIS CER77FICATION AND DISCLOSURE, IF ANY. <br />n ignature of the Bidder or Offeror's Aulhorized O~cial <br />~~ ~~ ~ °~.~ Name and Title of the Bidder or Offerors Authorized Official <br />UiG2 ~f~.5~d~~" <br />~ ~ ~~ " q ~ Date _ <br />DBE APPROVAL CERTIFICATION <br />I hereby certiry that the Offeror has wmpiied with the requirements of 49 CFR 23.67, Participation by <br />Disadvantaged Business Enterprises in DOT Programs, and that its goals have not been disapproved by the <br />Federal Transit Administration. <br />ignature of the Bidder or Offeror's Authorized O~cial <br />-~e~'~v`~v-~, ~Q ~ Name and Title of the Bidder or Offerors Authorized Official <br />v c ce. p r~s ~ d e~•-~-~ <br />~ ~ ~ - ~ ~ Date <br />