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6. PROVIDER has not been represented or assisted in the award of this Agreement <br /> for a fee or other consideration by an individual who, a) within the past twelve (12) months, <br /> served as an Agency employee or in the case of the Legislature,' a legislator, and b) <br /> participated while an employee or legislator on matters related to this Agreement. <br /> PROVIDER understands that the Agreement to which this document is attached is voidable <br /> on behalf of the STATE if this Agreement was entered into in violation of any provision of <br /> chapter 84, HRS, commonly referred to as the Code of Ethics, including the. provisions <br /> which are the source of the declarations above. Additionally, any fee, compensation, gift, <br /> or profit received by any person as a result of a violation of the Code of Ethics may be <br /> recovered by the STATE. <br /> DATED: Honolulu, Hawaii, , <br /> PROVIDER <br /> By <br /> Title <br /> 'Reminder to Agency: If "is" is circled, the Agency is required, under section 84-15, HRS, <br /> to 51e with the State Ethics Commission, ten (10) days before the Agreement is entered <br /> <br /> into, a written justification as to why the Agreement was not required to be competitively <br /> bid. <br /> Exhibit "C" <br /> Page 2 <br /> <br />