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pAttachment E <br /> ..3. AA <br /> V 10 <br /> rq <br /> Im <br /> Subcontractor Covered Transactions <br /> ( 1 ) The prospective subcontractor of the Recipient, certifies, by <br /> submission of this document, that neither it nor its principals is presently debarred, suspended, proposed for <br /> debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal <br /> department or agency. <br /> (2) Where the Recipient' s subcontractor is unable to certify to the above statement, the prospective <br /> subcontractor shall attach an explanation to this form. <br /> SUBCONTRACTOR : <br /> By: <br /> Signature Recipient ' s Name <br /> Name and Title DEM Contract Number <br /> Street Address <br /> City, State, Zip <br /> Date <br /> Page 43 of 48 <br />