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Revised July 18, 2006, 7107, 8109, 9111 <br />State Certification <br />Contractor Certifications Required by North Carolina Law <br />Instructions <br />The person who signs this document should read the text of the statutes cited herein and <br />consult with counsel and other knowledgeable persons before signing. The text of G.S. <br />143 -59.1 can be found online at: <br />http:// www. neg sta _t_e.nc.us /EnactedLegis]ation/ Statutes /PDF /BySection /Chapter_143 /GS� 143- 59.1.pdf <br />The text of G.S. 143 -59.2 can be found online at: <br />http:// www. nega .state.ne.us /EnactedLegislation /Statutes /PDF /B, Sy ection /Chapter 143 /GS 143- 59.2.pdf <br />The text of G.S. 105- 164.8(b) can be found online at: <br />http: //_ www. ncga. state.nc.us /EnactedLegislation/ Statutes /PDF /BySection /Chapter_105 /GS 105_- 164.8.pdf <br />Certifications <br />(1) Pursuant to G.S. 143- 59.1(b), the undersigned hereby certifies that the <br />Contractor named below is not an "ineligible Contractor" as set forth in G.S. 143 - <br />59.1(a) because: <br />(a) Neither the Contractor nor any of its affiliates has refused to collect the <br />use tax levied under Article 5 of Chapter 105 of the General Statutes on its <br />sales delivered to North Carolina when the sales met one or more of the <br />conditions of G.S. 105- 164.8(b); and <br />(b) [check one of the following boxes] <br />® Neither the Contractor nor any of its affiliates has incorporated or <br />reincorporated in a "tax haven country" as set forth in G.S. 143 - <br />59.1(c)(2) after December 31, 2001; or <br />❑ The Contractor or one of its affiliates has incorporated or <br />reincorporated in a "tax haven country" as set forth in G.S. 143 - <br />59.1(c)(2) after December 31, 2001 but the United States is not the <br />principal market for the public trading of the stock of the <br />corporation incorporated in the tax haven country. <br />(2) Pursuant to G.S. 143- 59.2(b), the undersigned hereby certifies that none of the <br />Contractor's officers, directors, or owners (if the Contractor is an unincorporated <br />business entity) has been convicted of any violation of Chapter 78A of the <br />General Statutes or the Securities Act of 1933 or the Securities Exchange Act of <br />1934 within 10 years immediately prior to the date of the bid solicitation. <br />Attachment number 2 <br />G -2 Page 318 <br />