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MMMw <br /> Attachment E <br /> Certification =Regarding <br /> Debarment, Suspension , Ineligibility <br /> And Voluntary4Exclusion <br /> Contractor Covered Transactions <br /> ( 1 ) The prospective contractor of the Recipient, certifies , by <br /> submission of this document, that neither it nor its principals is presently debarred , suspended , <br /> proposed for debarment, declared ineligible , or voluntarily excluded from participation in this <br /> transaction by any Federal department or agency. <br /> (2) Where the Recipient's contractor is unable to certify to the above statement, the prospective <br /> contractor shall attach an explanation to this form . <br /> CONTRACTOR : <br /> By : <br /> Signature Recipient's Name <br /> Name and Title DCA Contract Number <br /> Street Address <br /> City, State , Zip <br /> Date <br /> 35 <br />