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22 <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND INELIGIBILITY <br />1. The prospective lower tier participant [$100,000 or more] certifies, by submission of this proposal, <br />that neither it nor its principles are presently debarred, suspended, proposed for debarment, declared ineligible, or <br />voluntarily excluded from participation in this transaction by any Federal department or agency. <br />2. Where the prospective lower tier participant is unable to certify to any of the statements in this <br />certification, such prospective participant shall attach an explanation to their proposal. <br />Signed: <br />Typed (or Printed) Name: <br />Dated: <br />RFP 5167 -PAGE 11 OF 11 <br />