AUTHORIZED SIGNATURE: TITLE: DATE: Pursuant to M.G.L. c.7, §§22C-F, the undersigned, being an authorized representative of the Bidder, hereby certifies under the pains and penalties of perjury that (check applicable item): 1. The Bidder does not employ ten or more employees in an office or other facility located in . 2. The Bidder does employ ten or more employees in an office or other facility located in and certifies that: (a) The Bidder does not discriminate in employment, compensation, or the terms, conditions and privileges of employment on account of religious or political belief; and (b) The Bidder promotes religious tolerance within the work place, and the eradication of any manifestations of religious and other illegal discrimination; and (c) The Bidder is not engaged in the manufacture, distribution or sale of firearms, munitions, including rubber or plastic bullets, tear gas, armored vehicles or military aircraft for sue or deployment in Northern Ireland. 3. The Bidder does not certify to either 1 or 2. (a-c) above. Signed the pains and penalties of perjury this day of , BIDDER'S NAME: AUTHORIZED SIGNATURE: TITLE: DATE:
AUTHORIZED SIGNATURE: TITLE: DATE: Pursuant to M.G.L. c.7, §§22C-F, the undersigned, being an authorized representative of the Bidder, hereby certifies under the pains and penalties of perjury that (check applicable item): 1. The Bidder does not employ ten or more employees in an office or other facility located in . 2. The Bidder does employ ten or more employees in an office or other facility located in and certifies that: (a) The Bidder does not discriminate in employment, compensation, or the terms, conditions and privileges of employment on account of religious or political belief; and (b) The Bidder promotes religious tolerance within the work place, and the eradication of any manifestations of religious and other illegal discrimination; and (c) The Bidder is not engaged in the manufacture, distribution or sale of firearms, munitions, including rubber or plastic bullets, tear gas, armored vehicles or military aircraft for sue or deployment in Northern Ireland. 3. The Bidder does not certify to either 1 or 2. (a-c) above. Signed the pains and penalties of perjury this day of , BIDDER'S NAME: AUTHORIZED SIGNATURE: TITLE: DATE: