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DocuSign Envelope ID: 1582AE24-D793-4A66-9311-4472000BOEC3 <br /> Contract 468-2004 <br /> Personalized Patient Home Assistance, Inc. <br /> 9. Except for transactions authorized in paragraph 5 of these instructions, if a participant in a <br /> covered transaction knowingly enters into a lower tier covered transaction with a person who is <br /> suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in <br /> addition to other remedies available to the Federal Government,the department or agency with <br /> which this transaction originated may pursue available remedies, including suspension, and/or <br /> debarment. <br /> Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower <br /> Tier Covered Transactions <br /> (1) The prospective lower tier participant certifies, by submission of this proposal,that neither it <br /> nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, <br /> or voluntarily excluded from participation in this transaction by any Federal department or <br /> agency. <br /> (2) Where the prospective lower tier participant is unable to certify to any of the statements in <br /> this certification, such prospective participant shall attach an explanation to this proposal. <br /> I Docu''Srrigned by: <br /> �Nr'AUA, F&MInim Agency director <br /> 73gr2-n_nnn <br /> Signature Title <br /> Personalized Patient Home AssistanZ. 14/2015 <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Federal Certification-Debarment(07/08) Page 2 of 2 <br />