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Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion —Lower Tier <br />Covered Transactions <br />(1) The prospective lower tier participant certifies, by submission of this document, that neither it nor its <br />principals is presently debarred, suspend, proposed for debarment, declared ineligible, nor voluntarily <br />excluded from participation in this transaction by any Federal department or agency. <br />(Z) 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 this proposal. <br />Signature <br />Agency /Organization Date <br />(Certification signature should be same as Contract signature.) <br />Title <br />16 <br />