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Attachment G <br /> Certification Regarding <br /> Debarment, Suspension , Ineligibility <br /> And Voluntary Exclusion <br /> Subcontractor Covered Transactions <br /> ( 1 ) The prospective subcontractor of the Recipient , <br /> certifies , by submission of this document , that neither it nor its principals is presently <br /> 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 Recipient ' s subcontractor is unable to certify to the above statement , the <br /> prospective subcontractor shall attach an explanation to this form . <br /> SUBCONTRACTOR : <br /> By : Indian River County <br /> Signature Recipient' s Name <br /> 12 -CP- 03- 1040 - 01 - 196 <br /> Name and Title DCA Contract Number <br /> Street Address <br /> City , State , Zip <br /> Date <br />