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47 <br />For the Contractor: <br />IF DELIVERED BY US POSTAL SERVICE IF DELIVERED BY ANY OTHER MEANS <br />Name: ~ia~-+„~~!,,~;~ Name: ~t~,~ ~~,r=mss _ <br />Title: ~i?~'`.~,,-Y,s l~v-,ti;~,s~nnF-~;2.. Title: ~~L.;;~..~-,-Y,~ r~~i~,~-i; s~-~~~a;..~ <br />Agency: l~n,.s,-~-,ra~ Cyr 7.~~-(~t`. o ~~ /~~ ~S Agency: ~s~._..,.~-.~~ ~ Z~~-I~j- ~~-, ~~; ~~ <br />Postal ~~--~~ 1~sv~,sC-vim ~-- Street ~--~~ /-~,-,-,~s~,~~si'? <br />Address: Address: ~~ ..--~ ~; ~ f , y~~ .~ <br />fix-' r ~ _~~~`~~ <br />Gt /Zi <br />v P~~~`V-~`-i ~: IC, /~ ~.~s~4 city: <br />Phone: y iia-~~ ~ - ~ U ~C, <br />Fax: ~~~r- ~/~~'- Nzo~f3 <br />Email: ~~'a~ ~~ ~-' ~~ : (,~2~a. -' 1~.-}~~, ~c <br />Section 44. INCORPORATION OF FTA TERMS: <br />The. preceding provisions include, in part, certain Standard Terms and Conditions required <br />by DOT, whether .or not expressly set forth in the preceding contract provisions. All <br />contractual provisions required by DOT, as set forth in FTA Circular 4220.IF, are hereby <br />incorporated by reference. Anything to the contrary herein notwithstanding, all FTA <br />mandated terms shall be deemed to control in the event of a conflict with other provisions <br />contained in this Agreement. The Contractor shall not perform any act, fail to perform any <br />act, or refuse to comply with any (name of grantee) requests which would cause (name of <br />grantee) to be in violation of the FTA terms and conditions. <br />"N.C.G.S. § 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any <br />State Employee of any gift from anyone with a contract with the State, or from any person <br />seeking to do business with the State. By execution of any response in this procurement, <br />you attest, for your entire organization and its employees or agents, that you are not aware <br />that any such. gift has been offered, accepted, or promised by any employees of your <br />organization." <br />Revised 1/6/10 <br />