Appendix_D_OCI_Certification.pdf

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Engineering Support Services for Sabine Pass LNG Tank Incident Docket No. CP04-47
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89603018Q0096
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OCI Certification

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D-1

APPENDIX D

OCI Certification

I, (applicant representative), am responsible for reviewing proposals received in response to (applicant name)'s Request for Proposals for the preparation of an Environmental (Assessment/Impact Statement) and related documents and services for the proposed (project name) Project.

I have reviewed the proposal of (contractor name) for Organizational Conflicts of Interest. I hereby certify that (contractor name) has complied with the OCI Representation or OCI Disclosure requirements of the RFP and that there are no real or apparent disqualifying conflicts of interest.

Signature :

Title :

Date :

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