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RPR-13-2007 07:37 From:PLRNT INDUSTRY DIV 8089739533 To:808 933 1521 P.5~26 4f se STATE OF 1;IAWAI[ ' CONTRACTOR'S STANDARDS Off' CONDUCT DECLARATION For the purposes of this declaration: "Agency" means anA includes the State, the legislature and its committees, all executive dcpartmegts, boards, commissions, committees, btueaus, offices; and all independent commissions and other establishments of tho state government but excluding the courts. "Controlling interest" means an interest in a business or other undertaking which is sufficient in fact to control, whctltcr the interest is gteatnr or less than fifty per cent (50%). "Employee" means a,ty nombwled, appointed, or elected officer or employee of the 51nte, including members of boards, commissions, and committees, aqd employees under contract to the State or oY t}te eoustitutional convention, but excluding legislntnrs, delegates to the wnstitutional convention, justices, and judges. (Section 84-3, HRS). Oq behalf of County of Hawaii ,CONTRACTOR, the undersifined does declare as follows: I. CONTRAC'fUR ? is ®is nut a legislator or an employe; or a business in which a legislator or an employee has a cogtrollittg interest, (Sec:tion 84-15(a), HRS). 2. CONTRACTOR has not been representul or assisted personally in the matter by an individual who has been an employee ol'the agency awarding this Conbract within the preceding two years and who participated while so employed in the matter with wbich the Gontroct is directly concerned. (Section 84-15(b), HRS). 3. CONTRACTOR has not been assisted or represented by a legislator or employee for a fee or other compensation to ohtain this Coutrect and will not be assisted nr reptesertted by a legislator or employee for a fee or other compensation in the performance of this Contract, if the legislator or employee had peen involved in the development or award of the Contract (Section 84-14 (d), HRS). 4. CONTRACTOR has not been represented on matters related to this Contract, for a fee or otter consideration by an individual who, within the pact twelve (12) months, has been art agency employoa, or in the case of rte Legislature, a legislator, and participated while an employee or legislator on matters related to tbia Contract. (Sections 84-18(b) and (c), HRS). CONTRACTOR understands that the Contmct to which this document is attached is voidable on behalf of the STATE if this Contract was entered into in violation of any provision of chapter 84, hiawaii Revised statutes, commonly referred to as the Code of fithics, includmg the provisions which are the source of the declarations about. Additionally, any fee, compensation, gi#I, or profit reccivexl by any person oA a result of a violation of the Coda of Ethics may be recovered by the STATE. CONTRACTOR I3y ~i~~ 1'ritrt Name Print "Cille Name of Conlrxc:tor CAunty of FIawaii Date AGA10 Rev 11/15/2005 1