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<br />Certification Regarding <br />Debarment, Suspension, Ineligibility and Voluntary Exclusion <br />Lower Tier Covered Transactions <br /> <br />This certification is required by the regulations implementing Executive Order 12549, Debarment <br />and Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were <br />published as Part VII of the May 26,1988 Federal Register (pages 19160-19211). <br /> <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION <br />- Attached) <br /> <br />(I) The prospective recipient of federal assistance funds certifies, by submission of this <br />proposal, that neither it nor its principals are presently debarred, suspended, proposed for <br />debarment, declared ineligible, or voluntarily excluded from participation in this transaction <br />by any federal department or agency. <br /> <br />(2) Where the prospective recipient of federal assistance funds is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an explanation to <br />this proposal. <br /> <br />a.....~ <br />Name and Title of Authorized Representa e <br /> <br /> <br />~~~cO <br /> <br />JjJ. dG.. 1Y1 d1L -J-ryU my- <br />Signature <br /> <br />1.-15'~a)5~ /'1. .;2.t;oS- <br />Date t1 ' <br />