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AN I, I i ; 3 v i FF <br />DEBARMENT <br />Cron Regarding <br />Debarment, Suspension, Ineligibility and Voluntary Exclusion <br />Lower Tier Covered Transactions <br />This certificafion is required by the regulations implementing Executive Order 12549, .Debarment and <br />Suspension, 29 CFR Part 98, Section 98.310, Participants' responsibilities. The regulations were <br />Published as Part VQ Of the May 26,1988 Federal R ' ter (pages 19160-19211)- <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION - <br />Attached) <br />(1} The prospective recipient of federal assistance funds certifies, by submission of this proposal, <br />LW neither it nor its principals are presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from participation in this transaction by any <br />federal department or agency. <br />(2) Where the prospective recipient of federal assistance funds is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an explanation to this <br />proposal. <br />Dr. Ana Jimenez -Harm, Founder and Executive Director <br />Name and Title of Authorized Representative <br />r <br />Signature <br />Date <br />