Form 3 - Suspension_Debarment_Termination.pdf

FORM 3 –

SUSPENSION/DEBARMENT/TERMINATION

I certify that I am the authorized representative of ______________________ (“Company”), and that the following statement is true to the best of my knowledge, information, and belief:

I affirm that neither the Company, nor any director, officer, controlling shareholder, partner, principal, or any other person substantially involved in the contracting activities of the Company, (i) presently is, or has ever been, debarred, suspended, declared ineligible, or voluntarily excluded from any transactions by any Federal, state, or local agency; and (ii) has ever been terminated on any past projects (Smithsonian projects or others) for any reason.

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