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26 <br /> U.S. DEPARTMENT OF AGRICULTURE <br /> Certification Regarding Debarment2 Suspension,Ineligibility <br /> and Voluntary Exclusion -Lower Tier Covered Transactions <br /> This certification is required by the regulations implementing Executive Order 12549,Debarment and Suspension,7 <br /> CFR Part 3417,Section 3017.510, Participants'responsibilities.The regulations were published as Part IV of the <br /> January 30, 1989,Federal Register(pages 4722-4733).Copies of the regulations may be obtained by contacting the <br /> Department of Agriculture agency with which this transaction originated. <br /> (BEFORE COMPLETING CERTIFICATION,READ INSTRUCTIONS ON REVERSE) <br /> (1) The prospective lower tier participant certifies,by submission of this proposal,that neither it nor its <br /> principals is presently debarred,suspended,proposed for debarment,declared ineligible,or voluntarily <br /> excluded from participation in this transaction by any Federal department or agency. <br /> (2) Where the prospective lower tier participant is unable to certify to any of the statements in this <br /> certification,such prospective participant shall attach an explanation to this proposal. <br /> ORANGE COUNTY <br /> Organization Name PRJAward Number or Project Name <br /> Name(s)and Title(s)of Authorized Representative(s) <br /> Signature(s) Date <br /> 1 <br /> Form AD-1048(1/92) <br />