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Certification Regarding <br /> Debarment, Suspension , Ineligibility, <br /> and <br /> Voluntary Exclusion <br /> Subcontractor Covered Transactions: <br /> The prospective subcontractor of the Subgrantee/Subrecipient certifies, by submission of this <br /> 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 <br /> any federal department or agency <br /> (Where the Subgrantee's/Subrecipient's subcontractor is unable to certify to the above statement, the <br /> prospective subcontractor must attach an explanation to this form ) <br /> SUBCONTRACTOR <br /> Name of Company <br /> Street Address <br /> City, State, Zip <br /> Federal Employer Identification Number (FEIN) <br /> By. <br /> Signature Date <br /> Printed Name <br /> Subgrantee's/Subrecipient's Name <br /> Attachment "C" <br />