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FORM A <br /> INELIGIBLE CONTRACTOR'S CERTIFICATE <br /> The BRIDGESTONE AMERICAS TIRE OPERATIONS, LLC <br /> (name of the contractor) <br /> hereby certifies that neither it nor its principals [as defined at 49 CFR 29.995] or affiliates <br /> [as defined at 49 CFR 29.905] is presently debarred, suspended, disqualified or excluded <br /> from participation in this transaction [as defined at 49 CFR 29.940 and 29.945] by any <br /> Federal department or agency. <br /> Date: June i_ , 2014 <br /> Company Name: BRIDGESTONE AMERICAS TIRE OPERATIONS, LLC <br /> Authorized Representative: D. WARREN DICKINSON <br /> Title: MANAGER <br /> Signature: <br /> Bridgestone- July 1,2014 Page 19 <br />