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Certificate Regarding <br />Debarment, Suspension, Ineligibility and Voluntary Exclusion <br />Lower Tier Covered Transactions <br /> <br />Contractor Organization: <br /> <br />This certification is required by the regulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CFR Part 98, Section 98.510, Participants' Responsibilities. The regulations were <br />published as Part VII of the May 26, 1988 Federal Register (Pages 19160-19211 ). <br /> <br />(BEFORE COMPLETING CERTIFICATION, READ ATTACHED INSTRUCTIONS <br />WHICH ARE AN INTEGRAL PART OF THE CERTIFICATION) <br /> <br />(1) <br /> <br />The prospective recipient of Federal assistance funds certifies, by submission of this proposal, <br />that neither it nor its principals are presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from participation in this transaction by any Federal <br />department or agency. <br /> <br />(2) <br /> <br />Where the prospective recipient of Federal assistance funds is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an explanation to this <br />proposal. <br /> <br /> James F. Cook, Jr., Director <br />Nam/~T~uthorized Representative <br /> <br />WIA T~tle I Adult/Dislocated Worker RFP <br />Apdl 2O04 <br /> <br /> <br />