Laserfiche WebLink
Attachment G <br /> c <br /> a <br /> 7 <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, <br /> suspended, proposed for debarment, declared ineligible,or voluntarily excluded from <br /> participation in this transaction by any Federal department or agency. <br /> (2) Where the Contractor's subcontractor is unable to certify to the above statement,the <br /> prospective contractor shall attach an explanation to this form. <br /> (Sub-Contractor's Name) (Recipient's Name) <br /> Date: <br /> (Authorized Signature) <br /> lODB-4X-10-40-01-F 13 <br /> (Print Name and Title) (DCA Contract Number) <br /> (Street Address) <br /> (City, State,Zip) <br /> 24 <br /> SmeadSoft Reprint Date:Friday,March 11,2016-13:45:28-OfficialDocuments:6484,attachment id 1,Page 37 <br />