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Certification Regarding <br />Debarment, Suspension, Ineligibility and voluntary Exclusion <br />LoWerTler Covered Transactions <br />This certification is required by the regulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CFR Part 98, Section 98,510, Participants' Responsibilities. The regulations were <br />published as Part VII of the May16, 1988, Federal Register (Pages 19160-19211), <br />(Before completing certification, read instructions which are an integral part of certification) <br />1. The prospective primary participant, (Le, grantee) certifies to the best of its knowledge and belief, <br />that it and Its principals <br />a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or <br />voluntarily excluded from covered transactions by any federal department or agency; <br />b. Have not within a three-year period preceding this proposal been convicted or had a civil <br />judgment rendered against them for commission of fraud or a criminal offense in connection <br />with obtaining, attempting to obtain; or performing a public (federal, state or local) transaction <br />or contract under a public transaction; violation of federal or state antitrust statues or <br />commission of embezzlement, theft; forgery, bribery, falsification or destruction of records, <br />making false statements, or receiving stolen property. <br />C. Are not presently indicted for or otherwise criminally orcivilly charged by a government <br />entity (federal, state or local) with commission of any of the offenses enumerated in paragraph <br />(1)(b) of this certification; and <br />d, Have not within a three-year period preceding this application/proposal had one or more <br />public transactions (federal, state or local) terminated for cause or default. <br />2. Where the prospective primary participant is unable to certify to any of the statements in this <br />certification, such prospective part icipantshallattach an explanation to this proposal, <br />jaz <br />Grantee/Contractor Organization <br />Nance and Title of Official Authorized to Certify, <br />On Behalf of the Grantee <br />Date <br />EXHIBIT <br />