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<br />Master Contract No. 902012 <br />Procurement Contract No. 24823 <br /> <br />Exhibit D1 <br />Page 1 of 1 <br /> <br />EXHIBIT D1 <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 />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 /> Has not been suspended, debarred, voluntarily excluded or determined ineligible by any <br />federal agency within the past three years; <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 />If there are any exceptions to this certification, insert the exceptions in the following space. For any <br />exception noted above, indicate below to whom it applies, initiating agency, and dates of action. <br /> Check if continued on attached page. <br />Exceptions will not necessarily result in denial of award, but will be considered in determining <br />contractor responsibility. For any exception noted above, indicate below to whom it applies, initiating <br />agency, and dates of action. <br />Notes: Providing false information may result in criminal prosecution or administrative sanctions. The <br />above certification is part of the Amendment to the Standard Services Agreement. Signing the <br />Amendment to Standard Services Agreement on the signature portion thereof shall also constitute <br />signature of this Certification. <br /> <br />CONTRACTOR: City of San Leandro . <br /> <br />PRINCIPAL: Fran Robustelli TITLE: City Manager . <br /> <br /> <br /> <br /> <br />SIGNATURE: ______________________________ DATE: