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. U.S. Department of the Interior <br /> TO BE COMPLETED BY <br /> CONTRACTORS) <br /> Certification Regarding <br /> Debarment, Suspension, Ineligibility and <br /> Voluntary Exclusion <br /> Lower Tier Covered Transactions <br /> This certification is required by the regulations implementing Executive Order <br /> 12549, Debarment and Suspension,43 CFR Part 12,Section 12.510, Participants' <br /> responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal <br /> Rester (pages 19160-19211). Copies of the regulations are included in the proposa <br /> package. For further assistance in obtaining a copy of the regulations,contact the U.S. <br /> Departmeat of the Interior;Acquisition and Assistance Division, Office of Acquisition and <br /> Property Management, 18th and C Streets,N.W.,Washington,D.C. 20240. <br /> (BEFORE COMPLETING CERTIFICATION,READ INSTRUCTIONS ON REVERSE) <br /> (1) The prospective lower tier participant certifies,by submission of this proposal, <br /> that neither it nor its principals is presently debarred,suspended,proposed for debarment, <br /> declared ineligible,or voluntarily excluded from participation in this transaction by any <br /> Federal department or agency. <br /> (2) Where the prospective lower tier participant is unable to certify to any of the <br /> statements in this certification,such prospective participant shall attach&a explanation to <br /> this proposal. <br /> Randall`Arendt,, Vice-President%Conservation Planning, Natural Lands Trust <br /> Name and Title of Authorized Representative <br /> Signature Date <br /> 01-1954 <br />