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<br />. ATTACHMENT D ¡i4 <br /> DEBARMENT CERTIFICATION <br />(1) The SUB GRANTEE certifies to the best of its knowledge and belief, that it and its principals; <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 />(b) Have not within a three-ye¥ period preceding this proposal been convicted of or had a civil <br />judgement rendered against then for commission of fraud or a criminal offense in connection with <br />obtaining, attempting to, obtain, or performing a federal, state or local public transaction or <br />contract under a public transaction; violation of federal or state antitrust statutes or commission <br />. of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false <br />statements, or receiving stolen property; <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 (1)(b) <br />of this certification; and <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 />(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 />.?¿ / A" ill¿ - <br />S{gnatU{'e of Certify'igg Official <br />City Manager <br />Title <br />10/25/94 <br />Date <br />07/94 Page 1 of 1 <br />TSGRANT. two <br />