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ATTACHMENT G <br />EEL <br />n Ineli`� ibil`` <br />9_ - <br />4- <br />Eicc is`on <br />Subcontractor Covered Transactions <br />(1) The prospective subcontractor of the Sub -Recipient, , <br />certifies, by submission of this document, that neither it nor its principals is presently debarred, <br />suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation <br />in this transaction by any Federal department or agency. <br />(2) Where the Sub -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: <br />Signature <br />Sub -Recipient's Name <br />Name and Title DEM Contract Number <br />Street Address Project Number <br />City, State, Zip <br />Date <br />43 <br />