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   Certification Of No Conflict


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Certification of No Conflict

I ___________________________, serving as the _________________ at the _____________________ organization while also serving as the _______________________ at the _____________________ organization, hereby certify the following:

I understand that if circumstances should change and my activities become in conflict between the two organizations, I shall submit a waiver of conflict of interest and refrain from activities that are in conflict until such time that a waiver is granted.

____________________________________

Signature & date

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