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Attachment H <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 /> 14-CP- 11 A 0-40-01 -274 <br /> Name and Title Agreement Number <br /> Street Address <br /> City, State , Zip <br /> Date <br />