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<br />Certification Regarding <br />Debannent, Suspension, ]neligibility 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 ]9160-19211), <br /> <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION <br />- Attached) <br /> <br />(1) 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 offederal 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 />.;/) . ..if / . ,.;; ,j \ "-7), /:... <br />,_.\,;.~,:Y(jI{''"'1.'fL l~."--' ">t-JF/~V~' / /'~;-?~..r~L..-.;.vo.J /_:' ///-:Ce.J..Q-~ <br />Name and TItle of Authonzed Representfl~\ve <br /> <br />) <br />,..-;--c/ft;:;~~{,.(;A;"" <br /> <br />.""::~'!"" > <br />~, i..-!.-V'jJ'i',-- <br /> <br />~(/!.'!3-... (y;;r- <br />Date <br /> <br />Signature <br />