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CSJ #0914 -33 -055 <br />District # 14 <br />Code Chart 64 #37950 <br />Aquarena Springs: I -35 to Sessoms <br />CFDA #20.205 <br />currently debarred, suspended, or otherwise excluded from or ineligible for participation in Federal <br />Assistance Programs under Executive Order 12549. The parties to this contract shall require any <br />party to a subcontract or purchase order awarded under this contract to certify its eligibility to <br />receive Federal funds and, when requested by the State, to furnish a copy of the certification. <br />IN TESTIMONY HEREOF, the parties hereto have caused these presents to be executed in <br />duplicate counterparts. <br />THE LOCAL GOV <br />By: <br />(Signature) <br />Title: <br />Date: Li m <br />THE STATE OF TEXAS <br />Executed for the Executive Director and approved for the Texas Transportation Commission for the <br />purpose and effect of activating and /or carrying out the orders, established policies or work programs <br />heretofore a roved and authorized by the Texas Transportation Commission. <br />By: .tu <br />Janice Mullen <br />Director of Contract Services <br />Texas Department of Transportation <br />Date: <br />AFA- LPAFA_ShortGen.doc Page 4 of 7 Revised 02/02/2009 <br />