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CSJ #0914-33-058 <br />District # 14 <br />Code Chart 64 #37950 <br />LBJ Dr: Hopkins St to University Dr <br />CFDA #20.205 <br />Assistance Programs under Executive Order 12549, "Debarment and Suspension." By executing <br />this agreement, the [Contractor, Local Government, Engineer, or whatever] certifies that it is not <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 NT <br />By: <br />L,-,l tjU,4ZAy <br />(Signatur <br />Title: al r y 4 e &? <br />Date: ?1.?1 u a 3? a oo <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 approved and authorized by the Texas Transportation Commission. <br />By: &a- - a. <br />Lea A. Burnett <br />Senior Contracts Attorney <br />General Services Division <br />Date: a/ -I z o o 9 <br />AFA-LPAFA ShortGen.doc Page 4 of 7 Revised 02/02/2009