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Master Contract No. 902012 <br />Procurement Contract No. 24573 <br />Exhibit D <br />Page 1 of 1 <br /> <br /> <br /> <br />EXHIBIT D <br /> <br />COUNTY OF ALAMEDA <br />DEBARMENT AND SUSPENSION CERTIFICATION <br />(Applicable to all agreements funded in part or whole with federal funds and contracts over $25,000). <br /> <br />The contractor, under penalty of perjury, certifies that, except as noted below, contractor, its <br />principals, and any named and unnamed subcontractor: <br /> <br />• Is not currently under suspension, debarment, voluntary exclusion, or determination of <br />ineligibility by any federal agency; <br /> <br />• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any <br />federal agency within the past three years; <br /> <br />• Does not have a proposed debarment pending; and <br />• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of <br />competent jurisdiction in any matter involving fraud or official misconduct within the past <br />three years. <br /> <br />If there are any exceptions to this certification, insert the exceptions in the following space. For any <br />exception noted, indicate to whom it applies, initiating agency, and dates of action. Exceptions will <br />not necessarily result in denial of award, but will be considered in determining Contractor <br />responsibility. <br /> <br /> <br /> <br /> <br />Notes: Providing false information may result in criminal prosecution or administrative sanctions. <br />The above certification is part of the Standard Services Agreement. Signing this Standard <br />Services Agreement on the signature portion thereof shall also constitute signature of this <br />Certification. <br /> <br /> <br />CONTRACTOR: City of San Leandro <br /> <br />PRINCIPAL: Fran Robustelli TITLE: City Manager <br /> <br />2/2/2023 SIGNATURE: DATE: