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DocuSign Envelope ID: o240er38-3r84-4*4e'e0e8-C4r5eAC37487 <br /> 9. Except for transactions authorized in pa 5 of these instructions, if a paicipant 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 certi1 to any of the statements in <br /> this certification, such prospective participant shall attach an explanation to this proposal. <br /> DocuSigned by: <br /> owner <br /> _ <br /> Signature - Title <br /> KAH care' LLC 7/18/2016 <br /> Agency/Organization Date <br /> (Certification signature should be same as Contract signature.) <br /> Page 2 f2 <br /> Federal Cc�ifice1ioo' Debarment(06/15) a�e n <br />