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U.S. Department of the Interior <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 /> Re gister (pages 19160.19211). Copies of the regulations are included in the propoT <br /> pac age. 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 /> Frances P: Alexander, Prinicipal <br /> .Richard L. Mattson, Principal <br /> Name and Title of Authorized Representative j <br /> Si�A ure (ConsulCan � Date <br /> 01.1954 <br /> (9BE) <br />