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<br /> . /D3 yJ <br /> . <br /> A IT ACHMENT D <br /> DEBARMENT CERTIFICATION <br /> (1) The SUBGRANTEE certifies to the best of its knowledge and belief, that it and its <br /> principals; <br /> (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible <br /> or voluntarily excluded from covered transactions by any federal department or agency; <br /> (b) Have not within a three-year period preceding this proposal been convicted of or <br /> had a civil judgement rendered against then for commission of fraud or a criminal <br /> offense in connection with obtaining, attempting to obtain, or performing a federal, state <br /> or local public transaction or contract under a public transaction; violation of federal or <br /> state antitrust statutes or commission of embezzlement, theft, forgery, bribery, <br /> falsification or destruction of records, making false statements, or receiving stolen' <br /> property; <br /> ( c) Are not presently indicted for otherwise criminally or civilly charged by a federal <br /> state, or local governmental entity with commission of any of the offenses enumerated in <br /> paragraph (1)(b) of this certification; and ~ <br /> (d) Have not within a three-year period preceding this application/proposal had one or <br /> more federal state or local public transactions terminated for cause or default. <br /> (2) Where the SUB GRANTEE is unable to certify to any of the statements in this certification, <br /> such SUBGRANTEE shall attach an explanation to this certification. <br /> - <br /> I <br /> , I - <br /> .~~- / /J..a/¡¿ . <br /> SigÍ1aturé-Öf Certifyin~ Official <br /> Larry D. Gilley¡ City Manaqer <br /> Title <br /> April 27, 1993 <br /> Date <br /> 7/92 Page 1 of 1 <br />