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<br />. <br /> <br />~ <br />~~HILLS <br /> <br />April 13,2006 <br /> <br />Purchasing Department <br />Blue Cross Blue Shicld Mmnesota <br />3535 Blue Cross Road <br />Eagan, MN 55122 <br /> <br />The understgned certifies that: <br /> <br />I. Applicant, including all partners and subcontractors, has not had a direct contractual relationship <br />with a tobacco company within the past five (5) years. <br /> <br />2. Applicant, including all partners and subcontractors, does not currcntly have a direct contractual <br />relationship with a tobacco company subsidiary, affiliate, or parent company. <br /> <br />3. If awarded thc Blue Cross contract, Applicant, including all partners and subcontractors, will not <br />pursue or accept a contract with a tobacco company, subsidiary, affiliate, or parent company for <br />the duration of the contract with Blue Cross. <br /> <br />. In addition, please include in this letter disclosure of: <br /> <br />4. Any direct contractual relationship between Applicant, including all partners and subcontractors, <br />and a tobacco company within the past ten (10) years. <br /> <br />5. Any direct contractual relationship between Applicant, including all partners and subcontractors, <br />and a tobacco company subsidiary, atliliate, or parent company within the past five (5) years. <br /> <br />6. Any subcontracting relationship between Applicant, including all partners and subcontractors, <br />and a tobacco company, subsidiary, affiliate, or parent company within thc past five (5) years. <br /> <br />City of Arden Hills <br />1245 West Highway 96 <br />Arden Hills MN 55112 <br />Phone 651.634.5120 <br />Fax 651.634.5137 <br />41-6008992 <br /> <br />\ ./ i <br />l}y:.../r~-' <br />(-------//; ~--::.:-, <br /> <br /> <br />pment Director <br /> <br />/ <br /> <br />. <br /> <br />City of Arden Hills . 1245 West High\'llaj' 96 . Arden Hills. MN . 55112R5743 <br /> <br />"II-leu!! iIlLI-U;'ldldcllllilbJ'l::mnilrg\Coff1!iluniLY L~veIOpmCm\\JranlS\lScl::S::) l.Jrant H4'JY l.ontllf"t ollntere~1 torm Letter.doc <br />Phone 6~L634_:'l120 . Fax 6.:'11.634.5137 . w'ww.cl.ardcn-h.ls.mn.lIS <br />