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<br />Contractor Certification <br />(Negotiated Contracts) <br /> <br />Mr. Larry Gilley , being <br />duly sworn or under penalty of perjury under the laws of the United States, <br />certifies that, except as noted below, City of San Marcos or <br />any person associated therewith in the capacity of owner, partner, director, <br />officer, principal investigator, project director, manager, auditor, or any <br />position involving the administration offederal funds: <br /> <br />. is not currently under suspension, debarment, voluntary exclusion, or <br />determination of ineligibility by any federal agency; <br /> <br />. has not been suspended, debarred, voluntarily excluded or determined <br />ineligible by any federal agency within the past three years; <br /> <br />. does not have a proposed debarment pending; and <br /> <br />. has not been indicted, convicted, or had a civil judgment rendered <br />against it by a court of competent jurisdiction in any matter involving <br />fraud or official misconduct within the past three years. <br /> <br />Exceptions will not necessarily result in denial of award, but will be considered <br />in determining bidder responsibility. For any exception noted, indicate below <br />to whom it applies, initiating agency, and dates of action. Providing false <br />information may result in criminal prosecution or administrative sanctions. <br /> <br />Exceptions: <br /> <br />q¿'~~ jJ ¿¡g <br />Signature 0 'ertify{ng off!cial <br /> <br />City Manager <br />Title <br /> <br />September 26, 1988 <br />Date <br /> <br />-See Reverse for Instructions- <br /> <br />Form 1734 <br />6-88 <br /> <br />(1) <br /> <br />(2) <br /> <br />(3) <br /> <br />(4) <br />