Common use of ATTESTATION Clause in Contracts

ATTESTATION. By signing this report, I certify to the best of my knowledge and belief that the foregoing is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Sections 3729-3730 and 3801-3812). Company Name Name and Title of Authorized Representative FEDERAL DEBARMENT CERTIFICATION FORM (CONTINUED) Instructions for Certification

ATTESTATION. By signing this report, I certify to the best of my knowledge and belief that the foregoing is true, complete, and accurate. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Sections 3729-3730 and 3801-3812). Company Name Name and Title of Authorized Representative Signature Date FEDERAL DEBARMENT CERTIFICATION FORM (CONTINUED) Instructions for Certification