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1.1.23 CERTIFICATION OF LOWER-TIER PARTICIPANTS REGARDING<br />

DEBARMENT, SUSPENSION AND OTHER INELIGIBILITY AND VOLUNTARY<br />

EXCLUSION<br />

Page 79<br />

ATTACHMENT 2<br />

The Lower Tier Participant (potential sub-grantee or sub-recipient under an FTA<br />

project, potential third party contractor, or potential subcontractor under a major<br />

third party contact,<br />

________________________________ certifies by submission of this proposal, that<br />

neither it nor its principals are presently debarred, suspended, proposed for<br />

debarment, declared ineligible, or voluntarily excluded from participation in this<br />

transaction by and Federal department or agency.<br />

(If the Lower Tier Participant (potential dub-grantee or sub-recipient under an FTA<br />

project, potential third party contractor, or potential subcontractor under a major<br />

third party contract) is unable to certify to any of the statements in this certification,<br />

such participant shall attach an explanation to this proposal.)<br />

THE LOWER-TIER PARTICIPANT (POTENTIAL SUB-GRANTEE OR SUB-RECIPIENT<br />

UNDER AN FTA PROJECT, POTENTIAL THIRD PARTY CONTRACTOR OR<br />

POTENTIAL SUBCONTRACTOR UNDER A MAJOR THIRD PARTY CONTRACT)<br />

________________________________, CERTIFIES OR AFFIRMS THE<br />

TRUTHFULNESS AND ACCURACY OF THE CONTENTS OF THE STATEMENTS<br />

SUBMITTED ON OR WITH THIS CERTIFICATION AND UNDERSTANDS THAT THE<br />

PROVISIONS OF 31 U.S.C. SECTIONS 3801 ET SEO. ARE APPLICABLE THERETO.<br />

_________________________________________________________________<br />

(Signature and Title of Authorized Official)<br />

The undersigned chief legal counsel for the ______________<br />

________________________________ hereby certifies that the<br />

_______________________________________ has authority under State and Local<br />

law to comply with the subject assurances and the certifications above has been<br />

legally made.<br />

_________________________________________________________________<br />

(Signature of Applicant’s Attorney)<br />

______________________________________________<br />

(Date)

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