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<br /> <br />FORM 4.04 CERTIFICATE OF NON-DEBARMENT/SUSPENSION <br />REQUEST FOR PROPOSAL #2024-043 PUBLIC TRANSIT ADVERTISING SERVICES <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER <br />INELIGIBILITY AND VOLUNTARY EXCLUSION <br />LOWER TIER COVERED TRANSACTIONS <br /> <br />THIS FORM MUST BE COMPLETED BY THE PRIME SUPPLIER AND ANY SUB-TIER SUPPLIERS THAT WILL <br />BE AFFILIATED WITH THE WORK IN THIS PROPOSAL. RETURN ALL COMPLETED FORMS WITH ORIGINAL <br />PROPOSAL PACKAGE. <br />The Lower Tier Participant (Applicant for a third-party subcontract or subgrant under a federal funded <br />project), <br /> hereinafter referred to as Supplier, certifies, by submission of <br />this document, 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 /> <br />Where the Supplier is unable to certify to any of the statements in this certification, such Supplier must <br />attach an explanation to this submittal. <br /> <br />The Supplier, , certifies or affirms the truthfulness and accuracy <br />of the contents of the statements submitted on or with this certification and understands that the <br />provisions of 31 U.S.C. Section 3801 et seq. are applicable thereto. <br /> <br /> _______________________________________________ <br /> Signature of Authorized Official <br /> <br /> _______________________________________________ _______________________________ <br /> Title of Authorized Official Date <br /> <br /> <br /> <br />Exhibit C to Services Agreement