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U.S. Department of the Interior 14 . <br /> TO BE COMPLETED by <br /> CONTRACTOR(S) <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 /> Register (pages 19160.19211). Copies of the regulations are included In the proposes <br /> package. For further assistance in obtaining a copy,of the regulations, contact the U.S.. <br /> Department 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 an explanation to <br /> this proposal. <br /> Name and Title of Authorized Representative <br /> Signature (consultant) Date <br /> 01.1954 <br /> (9B8) <br />