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INSTRUCTIONS FOR CERTIFICATION <br />1. By signing and submitting this proposal, the prospective recipient of federal assistance <br />funds is providing the certification as set out below. <br />2. The certification in this clause is a material representation of fact upon which reliance <br />was placed when this transaction was entered into. If it is later determined that the <br />prospective recipient of federal assistance funds knowingly rendered an erroneous <br />certification, in addition to other remedies available to the Federal Government, the <br />Department of Labor (DOL) may pursue available remedies, including suspension and/or <br />debarment. <br />3. The prospective recipient of federal assistance funds shall provide immediate written <br />notice to the person to which this proposal is submitted if at any time the prospective <br />recipient of federal assistance funds learns that its certification was erroneous when <br />submitted or has become erroneous by reason of changed circumstances. <br />4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier <br />covered transaction," "participant," "person," "primary covered transaction," "principal," <br />"proposal," and "voluntarily excluded," as used in this clause, have the meanings set out <br />in the Definitions and Coverage sections of rules implementing Executive Order 12549. <br />You may contact the person to which this proposal is submitted for assistance in <br />obtaining a copy of those regulations. <br />5. The prospective recipient of federal assistance funds agrees by submitting this proposal <br />that, should the proposed covered transaction be entered into, it shall not knowingly enter <br />into any lower tier covered transaction with a person who is debarred, suspended, <br />declared ineligible, or voluntarily excluded from participation in this covered transaction, <br />unless authorized by the DOL. <br />6. The prospective recipient of federal assistance funds further agrees by submitting this <br />proposal that it will include the clause titled "Certification Regarding Debarment, <br />Suspension, Ineligibility and voluntary exclusion - Lower Tier Covered Transactions," <br />without modification, in all lower tier covered transactions and in all solicitations for <br />lower tier covered transactions. <br />7. A participant in a covered transaction may rely upon a certification of a prospective <br />participant in a lower tier covered transaction that it is not debarred, suspended, <br />ineligible, or voluntarily excluded from the covered transaction, unless it knows that the <br />certification is erroneous. A participant may decide the method and frequency by which <br />it determines the eligibility of its principals. Each participant may, but is not required to <br />check the List of Parties Excluded from Procurement or Non -Procurement Programs. <br />8. Nothing contained in the foregoing shall be construed to require establishment of a <br />system of records in order to render in good faith the certification required by this clause. <br />30 <br />