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i <br /> I <br /> INELIGIBLE CONTRACTORS CERTIFICATE I <br /> The ✓ <br /> (name of the contractor) <br /> hereby certifies that neither it nor its principals [as defined at 49 CFR 29.995] or affiliates [as <br /> defined at 49 CFR 29.905] is presently debarred, suspended,disqualified or excluded from <br /> participation in this transaction [as defined at 49 CFR 29.940 and 29.945] by any Federal <br /> department or agency. <br /> Company Name: ✓ <br /> Authorized Representative: <br /> I,J C-- �( * - <br /> Title: <br /> Signature: <br /> Date: <br /> SZ( A <br /> 29 <br />