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11 <br /> EXHIBIT E OSOS No. G-2639 <br /> CERTIFICATION REGARDING <br /> DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION <br /> LOWER TIER COVERED TRANSACTIONS <br /> This certification is required by the regulations implementing Executive Order 12549, Debarment <br /> and Suspension, 45 CFR Part 1185, Section 1185.510, Participants' responsibilities. The <br /> regulations were published as Part VII of the May 26, 1988 Federal Register <br /> (pages 19160-19211). Copies of the regulations may be obtained by contacting the person to <br /> whom this proposal is submitted. <br /> BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE <br /> 1. The prospective lower tier participant certifies, by submission of this proposal, that neither it <br /> nor its principals are presently debarred, suspended, proposed for debarment, declared <br /> ineligible, or voluntarily excluded from participation in this transaction by any Federal <br /> department or agency. <br /> 2. Where the prospective lower tier participant is unable to certify to any of the statements in this <br /> certification, such prospective participant shall attach an explanation to this proposal. <br /> Mark Nesse, Director <br /> Name and Title of Authorized Representative <br /> Signature Date <br /> CIPA <br /> Name of Sub-grant Project FFY <br /> Everett, Washington 2003 <br /> Location <br /> 03-CIPA-004 <br /> WSL Grant Number assigned to Contract <br /> (15 <br />