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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />17'3;t•: L. BUTLER, CLERK <br />ATTACHMENT G <br />CERTIFICATION REGARDING <br />DEBARMENT, SUSPENSION, INELIGIBILITY <br />AND VOLUNTARY EXCLUSION <br />Subcontractor Covered Transactions <br />The prospective subcontractor, , of the <br />Sub -Recipient certifies, by submission of this document, that neither it, its principals, nor its 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 />SUB -CONTRACTOR: <br />By: <br />Signature <br />Name and Title <br />Street Address <br />City, State, Zip <br />Date <br />Sub -Recipient's Name <br />FDEM Agreement Number <br />65 <br />