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ATTACHMENT <br /> CERTIFICATION REGARDING DEBARMENTS, SUSPENSION, INELIGIBILITY AND <br /> VOLUNTARY EXCLUSION-LOWER TIER FEDERALLY FUNDED TRANSACTIONS <br /> DEP AGREEMENT NO: G0143 <br /> L The undersigned hereby certifies that neither it nor its principals is presently debarred, suspended, proposed for <br /> debarment, <br /> declared ineligible, or voluntarily excluded from 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 certification been convicted of or had a civil judgment rendered <br /> against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or <br /> performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or <br /> State anti-trust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records. <br /> making false statements, or receiving stolen property. <br /> (b) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal , State <br /> or <br /> local) with commission of any of the offenses 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 transactions (Federal, State or <br /> local) tem-iinated for cause or default. <br /> 3 . Where the undersigned is unable to certify to any of the statements in this certification, an explanation shall be attached <br /> to this <br /> certification . <br /> Dated this 19th day of Apr i 1 20 05 <br /> By �C� ; (� C <br /> Authorized Signature/Contractor <br /> Thomas S Lowther , Chairman <br /> Typed Name/Title <br /> Indian River County , Florida <br /> Contractor' s Firm Name <br /> 1840 25th Street <br /> Street Address <br /> Building, Suite Number <br /> Vero Beach , FL 32960 <br /> City/State/Zip Code <br /> ( 772 ) 5W)(-X226 - 1490 <br /> Area Code/Telephone Number <br /> Form DEP 55-220 (01 /01 ) <br /> DEP Agreement No . GO 143 , Attachment I, Page 1 of 2 <br />