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FY 2020-2021 EMPA AGREEMENT <br /> ATTACHMENT C <br /> r - Certification ega ing <br /> Debarment, Spon. !nelloAbility <br /> Artd Vo a tazy Excluslc <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, <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 /> By: <br /> Signature Recipient's Name <br /> Name and Title Division Contract Number <br /> Street Address Project Number <br /> City, State, Zip <br /> Date <br /> 46 <br />