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ATTACHMENT B <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, <br />INELIGIBILITY and VOLUNTARY EXCLUSION <br />LOWER TIER COVERED TRANSACTION <br />(To be submitted with all bids or offers exceeding $25,000.) <br />(1) The prospective lower tier participant (Bidder/Contractor) certifies, by submission of this bid or <br />proposal, that neither it nor its principals is presently debarred, suspended, proposed for <br />debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any <br />Federal department or agency. <br />(2) The prospective Bidder/Contractor also certifies by submission of this bid or proposal that all <br />subcontractors and suppliers (this requirement flows down to all subcontracts at all levels) are not <br />presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded <br />from participation in this transaction by any Federal department or agency. <br />(3) Where the prospective lower tier participant (Bidder/Contractor) is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an explanation to this bid or <br />or000sal. <br />The lower tier participant(Bidder/Contractor), T-.� �, 1UXl Iy)C, , certifies or affirms the <br />truthfulness and accuracy of this statement of Its certification and disclosure, if any. <br />SIGNATURE AJ.1AQ- <br />4 -&Ceoji <br />TITLE_ PSitiDvY� <br />COMPANY 5 OIL iYIC <br />DATE ri_�l <br />W) B <br />r, <br />State of NAY& <br />� <br />q , <br />byplina <br />County of (t%o <br />Subscribed and swom to before me this 122 <br />day of Mn K! K! 20-1fi- <br />AMBER A. SAFRIT <br />I <br />Nplary Public, North Carolina <br />Notary Pt1bI1C - <br />-iAbAl <br />_Ut 71j" <br />Ceberrus County <br />My Commis ion plres� <br />My Appointment Expires <br />ATTACHMENT <br />,17 <br />Aftchmenl number 1 \n <br />F-4 Page 227 <br />