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Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Primary <br /> Covered Transactions <br /> The Bidder certifies that, the firm or any person associated therewith in the capacity of owner, partner, <br /> director, officer, principal , investigator, project director, manager, auditor, and/or position involving the administration <br /> of federal funds : <br /> (a ) are not presently debarred , suspended , proposed for debarment, declared ineligible , or voluntarily <br /> excluded from covered transactions , as defined in 49 CFR s29 . 110 (a ) , by any federal department or agency; <br /> (b ) have not within a three-year period preceding this certification been convicted of or had a civil judgment <br /> rendered against it for: commission of fraud ora criminal offense in connection with obtaining , attempting to obtain , <br /> or performing a federal , state , or local government transaction or public contract; violation of federal or state <br /> antitrust statutes ; or commission of embezzlement, theft , forgery, bribery, falsification or destruction of records , <br /> making false statements , or receiving stolen property <br /> (c) are not presently indicted for or otherwise criminally or civilly charged by a federal , state , or local <br /> governmental entity with commission of any of the offenses enumerated in paragraph (b) of this certification ; and <br /> (d ) have not within a three-year period preceding this certification had one or more federal , state , or local <br /> government public transactions terminated for cause or default. <br /> The Bidder certifies that it shall not knowingly enter into any transaction with any subcontractor, material <br /> supplier, orvendor who is debarred , suspended , declared ineligible , orvoluntarily excluded from participation in this <br /> project by any federal agency unless authorized by the Florida Department of Transportation . " <br /> Company Name : <br /> Authorized By: <br /> (Sign ) ( Print Name ) <br /> Title : Date : <br /> P- 18 <br /> 8/29/200832034 PM <br />