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a <br />Attachment -1-1 <br />y <br />Subcontractor Covered Transactions <br />A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />JR, SMITH, CLERK <br />The prospective subcontractor, of <br />the Sub -Recipient certifies, by submission of this document, that neither it, its principals, nor affiliates are <br />presently debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded, or <br />disqualified from participation in this transaction by any Federal department or agency. <br />SUBCONTRACTOR <br />By. . Indian, River, County <br />Signature i i Sub -Recipient's Name <br />_ Name -and Title <br />Street Address <br />City, State, Zip <br />We <br />51 <br />H0566 <br />DEM Contract Number <br />4283.91-R <br />FEMA Project Number <br />