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'� '� <br /> � , � <br /> U.S. DEPARTMENT OF JUSTICE <br /> s <br /> OFFICE OF JUSTICE PROGRAMS <br />, '� OFFICE OF THE COMPTROLLER <br /> Certification Regarding . <br /> Debarment Sus ension Ineli ibifit and Voluntary Exclusion <br /> � P � 9 Y <br /> Lower Tier Covered Transactions <br /> (Sub-Recipient) <br /> This certification is required by the regulations implementing Executive Order 12549, Debarment and ' <br /> Suspension, 28 CFR Part 67, Section 67.510, Participants' responsibilities. The regulations were published <br /> as Part VII of the May 26, 1988 Federal Register(pages 19160-19211). � <br /> (BEFORE COM.PLET{NG CERTIFICATION, READ INSTRUCTIONS ON REVERS� <br /> , (1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its <br /> principals are presently debarred, suspended, proposed for debarment,declared ineligible,orvoluntarily <br /> excluded from participation in this transaction by any Federal department or agency. <br /> (2) Where the prospective lower tier participant is unable to certify to any of the statements in this certifi- <br /> cation, such prospective participant shall attach an explanation to this proposal. <br /> James A. Anderson — Chief of Police ' <br /> Name and Title of Authorized Representative <br /> 12/09/2007 <br /> Signatu Date <br /> Decatur Police Department — City of Decatur <br /> Name of Organization <br /> 333 S Franklin Stre;et Decatur Illinois 62523 <br /> Address of Organization <br /> OJP FORM 4p61ft (REV.2l69)Previous editions are obsolete_ <br />