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<br />-===*" <br />~T~' <br />Cepo""""" <br />ofTl'ilnsport,1lion <br /> <br />A TT ACHMENT D <br /> <br />Fonn 1855 <br /> <br />9/94 <br /> <br />DEBARMENT CERTIFICATION <br /> <br />(1) The SUBGRANTEE certifies to the best of its knowledge and belief, that it and its principals: <br /> <br />(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible or <br />voluntarily excluded from covered transactions by any federal department or agency. <br /> <br />(b) Have not within a three-year period preceding this proposal been convicted of or had a civil <br />judgement rendered against them for commission of fraud or a criminal offenses in <br />connection with obtaining, attempting to obtain, or performing a federal, state, or local <br />public transaction or contract under a public transaction; violation of federal or state <br />antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or <br />destruction of records, making false statements, or receiving stolen property. <br /> <br />(c) Are not presently indicted for otherwise criminally or civilly charged by a federal, state, or <br />local governmental entity with commission of any of the offenses enumerated in paragraph <br />(l )(b) of this certification; and <br /> <br />(d) Have not within a three-year period preceding this application/proposal had one or more <br />federal, state, or local public transactions terminated for cause or default. <br /> <br />(2) Where the SUBGRANTEE is unable to certify to any of the statements in this certification, such <br />SUBGRANTEE shall attach an explanation to this certification. <br /> <br /> <br />March 7. 2000 <br />Date <br /> <br />PaKe 1 of 1 <br />