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Attachment I <br /> Certification Regarding <br /> Debarment, Suspension , Ineligibility <br /> and Voluntary Exclusion <br /> Contractor Covered Transactions: <br /> 1 . The prospective contractor of the Recipient, <br /> certifies, by submission of this document, that neither it nor its principals is presently debarred, <br /> suspended , proposed for debarment, declared ineligible, or voluntarily excluded from participation <br /> in this transaction by any Federal department or agency. <br /> 2. Where the Recipient's contractor is unable to certify to the above statement, the prospective <br /> contractor shall attach an explanation to this form . <br /> Contractor Recipient's Name <br /> By: <br /> Signature DEM Contract Number <br /> Name and Title <br /> Street Address <br /> City, State, Zip <br /> Date <br /> 36 <br />