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DEBARMENT <br />Debarnt Suspension, <br />Regarding <br />Ineligibility and Voluntary FmAusion <br />Lower Tier Covered Transactions <br />This cemscation is required by the regulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CPR Part 98, Section 98.510, participants' iaponsibilities. The regulations <br />published as Park VII of the May 26,1988 Federal (pages 19160.19211). were <br />(BEFORE; COMPLETING CERTIFICATION, READ IIVMUCTIONS FOR CERTIFICATION - <br />Attached) <br />(1) The prospective rempieat offederal assistance funds certifies, by submission of this proposal, <br />that neither it nor its principals are presently debarred, suspended, proposed for debarment, <br />declared ineligible, or vokmtmily excluded finun participation in this transaction by any <br />federal department or agency. <br />(2) Where the prospective recipient of federal assistance funds is unable to certify to any of the <br />statements in this ce ttificsti0k such prospective participant shall attach an explanation to this <br />Proposal. <br />Dr. Ana Jimenez-Hw4 Founder and Executive Director <br />Name and Title o£Authotixed Representative <br />Signature <br />