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ATTACHMENT E <br /> CERTIFICATION REGARDING DEBARMENTS, SUSPENSION, INELIGIBILITY AND <br /> VOLUNTARY EXCLUSION-LOWER TIER FEDERALLY FUNDED TRANSACTIONS <br /> Required for all contractors and subcontractors on procurement (vendor) contracts of $ 100, 000 or <br /> more, and for all contracts and grants with sub-recipients regardless of amount, when funded by a federal <br /> grant. <br /> 1 . The undersigned hereby certifies that neither it nor its principals is presently debarred, <br /> suspended , proposed for debarment, declared ineligible, or voluntarily excluded from <br /> participation in this transaction by any Federal department or agency. <br /> 2. The undersigned also certifies that it and its principals : <br /> (a) Have not within a three-year period preceding this response been convicted of or had a <br /> criminal offense in connection with obtaining, attempting to obtain , or performing a <br /> public ( Federal , State or local ) transaction or contract under a public transaction ; <br /> violation of Federal or State anti-trust statutes or commission of embezzlement, theft, <br /> forgery, bribery, falsification or destruction of records, making false statements , or <br /> receiving stolen property. <br /> (b) Are not presently indicted for or otherwise criminally or civilly charged by a <br /> governmental entity (Federal , State or local ) with commission of any of the offenses <br /> enumerated in paragraph 2 .(a) of this Certification; and <br /> (c) Have not within a three-year period preceding this certification had one or more public <br /> transactions ( Federal , State or local ) terminated for cause or default. <br /> 3. Where the undersigned is unable to certify to any of the statements in this certification, an <br /> explanation shall be attached to this certification . <br /> Dated this Ft dayof .Bina 20 <br /> BY: y 2+u1 Lt//ctt Dy^ ' <br /> Authorized gnature/Contractor <br /> Typed Name(fitle . . . <br /> Gary C . Wheeler , BCC Chairman <br /> Grantee Name/Contractor Name <br /> Indian River County Board of County Commissioners <br /> Street Address <br /> 1840 25th Street <br /> Building, Suite Number <br /> City/State/Zip Code <br /> APPROVED SVero Beach , FL 32960 <br /> TO FORM Area CodefFelephone Number <br /> NO Latah- SUFFIC NCY <br /> ( 772 ) 226 - 1490 (Pagel of 2) <br /> AS51 TANCOUNTY L <br /> rogNEY Page 1 of 2, Attachment E <br />