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9/27/2023 9:22:31 AM Page 17 of 21 <br />1.The prospective primary tier participant certifies to the best of its knowledge and belief, that it and its principals: <br />a.Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded <br />from participating in covered transactions by any Federal department or agency; <br />b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered <br />against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or <br />performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of <br />Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or <br />destruction of records, making false statements, or receiving stolen property; <br />c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, <br />State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; <br />and <br />d. Have not within a three-year period preceding this application/proposal had one or more public transactions <br />(Federal, State, or local) terminated for cause or default. <br />2.Where the prospective primary tier participant is unable to certify to any of the Statements in this certification, such <br />prospective participant shall attach an explanation to this proposal. <br />INSTRUCTIONS FOR LOWER TIER PARTICIPANT CERTIFICATION <br />1.By signing and submitting this proposal, the prospective lower tier participant is providing the certification set out below <br />and agrees to comply with the requirements of 2 CFR parts 180 and 1200. <br />2.The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was <br />entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous <br />certification, in addition to other remedies available to the Federal Government, the department or agency with which this <br />transaction originated may pursue available remedies, including suspension or debarment. <br />3.The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is <br />submitted if at any time the prospective lower tier participant learns that its certification was erroneous when <br />submitted or has become erroneous by reason of changed circumstances. <br />4.The terms covered transaction, civil judgment, debarment, suspension, ineligible, participant, person, principal, and <br />voluntarily excluded, as used in this clause, are defined in 2 CFR parts 180 and 1200. You may contact the person to <br />whom this proposal is submitted for assistance in obtaining a copy of those regulations. <br />5.The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered transaction be <br />entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for <br />debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from <br />participation in this covered transaction, unless authorized by the department or agency with which this transaction <br />originated. <br />6.The prospective lower tier participant further agrees by submitting this proposal that it will include the clause titled <br />Ineligibility and Voluntary Exclusion Lower Tier Covered tier covered <br />transactions and in all solicitations for lower tier covered transactions and will require lower tier participants to comply <br />with 2 CFR parts 180 and 1200. <br />7.A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered <br />transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or <br />voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant is <br />responsible for ensuring that its principals are not suspended, debarred, or otherwise ineligible to participate in covered <br />transactions. To verify the eligibility of its principals, as well as the eligibility of any prospective lower tier participants, <br />each participant may, but is not required to, check the System for Award Management Exclusions website <br />( https://www.sam.gov/). <br />8.Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in <br />good faith the certification required by this clause. The knowledge and information of a participant is not required to <br />exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. <br />9.Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered transaction <br />knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, <br />subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to <br />other remedies available to the Federal Government, the department or agency with which this transaction originated may <br />pursue available remedies, including suspension or debarment. <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION <br />LOWER TIER COVERED TRANSACTIONS <br />1. The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently <br />debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in covered <br />transactions by any Federal department or agency.