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ATTACHMENT 3C 5 <br /> U.S. Department of the Interior <br /> Certification Regarding <br /> Debarment, Suspension, Ineligibility and <br /> Voluntary Exclusion <br /> Lower Tier Covered Transactions <br /> This certification is required by the regulations implementing Executive Order <br /> 12549, Debarment and Suspension, 43 CFR Part 12, Section 12.510, <br /> Participants' responsibilities. The regulations were published as Part VII of the <br /> May 26, 1988 Federal Register (pages 19160-19211). Copies of the <br /> regulations are included in the proposal package. For further assistance in <br /> obtaining a copy of the regulations, contact the U.S. Department of the <br /> Interior, Acquisition and Assistance Division, Office of Acquisition and Property <br /> Management, 18th and C Streets, N.W., Washington, D.C. 20240. <br /> (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) <br /> (1) The prospective lower tier participant certifies, by submission of this <br /> proposal that neither it nor its principals is presently debarred, <br /> suspended, proposed for debarment, declared ineligible, or voluntarily <br /> excluded from participation in this transaction by any Federal department <br /> or agency. <br /> (2) Where the prospective lower tier participant is unable to certify to any of <br /> the statements in this certification, such prospective participant shall <br /> attach an explanation to this proposal. <br /> David Koenig, Manager, Long Range Planning and Community Development <br /> Name and Title of Authorized Representative <br /> rY(Wi <br /> SignatureDa e <br /> 31 <br />