Laserfiche WebLink
Attachment E <br /> Certification Regarding <br /> Debarment, Suspension , Ineligibility <br /> And Voluntary Exclusion <br /> Subcontractor Covered Transactions <br /> ( 1 ) The prospective contractor of the Recipient , certifies , by <br /> submission of this document, that neither it nor its principals is presently debarred , suspended , <br /> proposed for debarment, declared ineligible , or voluntarily excluded from participation in this <br /> 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 /> SUBCONTRACTOR : <br /> By : <br /> Signature Recipient ' s Name <br /> Name and Title Division Contract Number <br /> Street Address <br /> City, State , Zip <br /> Date <br /> 38 <br />