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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Attachment F <br />Cev t=flcaflor, Regarding Debarment, Suspension, Ineligibility, arta Voluntary Exclusion <br />Subcontractor Coverea i ransactions <br />(1) The prospective Subcontractor, , of the Recipient certifies, by <br />submission of this document, that neither it nor its principals are presently debarred, suspended, <br />proposed for debarment, declared ineligible, or voluntarily excluded from participation in this <br />transaction by any Federal 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 />Recipient's Signature Recipient's Printed Name <br />Name and Title FDEM Agreement Number <br />Street Address Project Number (if applicable) <br />City, State, Zip <br />Date <br />31 <br />