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REASON: 1.4 (C3 CECLASSIfY OM: 12-31-2041 CATE: 11-25-2016 Dee TORTONTNOFORN CLASSIFIEC BY: WSICG YTEecLletTed ALL INFORKATIONU CONTAINED HERETH IS UNCLASSIFIED EXCEFT SE PHOIN REPRESENTATIONS §S : SEMACTTATION bi wh vente SO <5: b7E -2 &3.203-2 CERTIFICATE GF INDEPESBENT PRICE DETERMINATION (U) fa) The offeror certifies thar ~ (U) 1} THe priees in this effer have boon arrived at independently, without, for the parpose of restricting competition amy consullatiin, commnmication, or agreement with any other offeror or competitor relating tt () those prices, (1) the imtention to aubreé an offs, or UH) ihe methods or factors used ta caleulate the prices offered: (U) &2) The prices in this offer have not been and will not be knowingly disclosed by the afferor, directly ar indirectly, io any other afferar or eorppeutor hefhre bid opening fin the case ca scaled bal saltowation) of coniracts the cass of a nogntiated soflcitation) aniess otherwise required by law; and (Uy § 3) No alternpt has been made or will he made by the offeror fo duce any other cancer Lo audit or sot io subrnit an afer for the purpose of reatricting conysetition. fb} Each signature on the afier is considered to he a certification by the stinatory that the signatary + (U) 3} a the persen in Ue offeror’s orgurtizations re sponsible for determining the prices be: ing affgred in this bid ex proposal, acd chat the signatory bas swe particinateal and will man parviclpate in any wethen contrary fo subosracrohs (ay fy throagh (23) abvree: or bl -1 ‘\ib3 -1- b4 -1 b6 -2 b7C -2 b7E -2 {insert ful name of personday ot the officer's orgartizatian responsible for determining the prices offerest in this bid or proposal. ane the tile of his or fuer position in the «afferor’s organization): Ay Asa an Saati # ied agent, does ¢ acre tity ue sat the principals rained R subst fivision BX abasve fave not a8) Ass an agent, h _ HOF pee ‘eaonally & patic icinated, wna wi ‘tt pest participate, y -etion contrary Ww subparagraphs (a)(1) through (a3) abowe, ic} Uf the offeror deletes ar modifies subparagraph (a2) above. the offkear must furnish with its offer a signed staterpent sediing forth in decal the circumstarices of the disclosure, KA (U) {3} Representation. Phe offeror represents that, except for Rl ime bora fide employers working solely fey the afferar, the afferar - fMote: The at¥eror omai check the appropriate boxes. For imerpatation af the representation, inchiding the A ORCOMHMOEORN AP-104