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FEDERAL DEBARMENT CERTIFICATION FORM (CONTINUED) Instructions for Certification 1. By signing and submitting this IFB Response, the prospective recipient of Federal assistance funds Is providing the certiflcation as set out below. 2. The certification in this class Is a material representation of fact upon which reliance was placed when this transaction was entered into. If It Is later determined that the prospective reciplent of Federal assistance funds knowingly rendered an erroneous certification, In addition to other remedies available to the Federal Government, the Department of Labor (DOL) may pursue available remedies, including suspension andlor debarment. 3. The. prospective recipient of Federal asslstance funds shall provide immediate written notice to the person to which this RFP Response is submitted If at any time the prospective recipient of Federal assistance funds learns that Its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The terms "covered transaction," "debarred," "suspended," "Ineligible," "lower tier covered transaction," "participant," "person, "primary covered transaction; "principal," "RFP Response," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of rules Implementing Executive Order 12549. You may contact the person to which this RFP Response Is submitted for assistance In obtaining a copy of those regulations. 5. The prospective recipient of Federal assistance funds agrees by submitting this RFP Response that, should I the proposed covered transaction be entered into, it shall not knowingly enter Into any lower tier covered transacdowWth a_pemot. who_is-debarred,suspended declared -Ineligible or-voluntarily-sxcluded-from - participation in this covered transaction, unless authorized by the DOL. 6. The prospective recipient of Federal assistance funds further agrees by submitting this RFP Response that it will Include the clausettiled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modification, In all lower tier covered transactions and In all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which It determines the ollgibliity of its principals. Each participant may but is not required to check the List. of Parties Excluded from Procurement or Non-ProouremerZt Pronrams. B. Nothing contained In the foregoing shall be construed to require establishment of a system of records in order to render in good faith the oertiticatlon required by this clause. The knowledge and information of a participant Is not required to exceed that which is normally possessed by a prudent person In the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, If a partlolpent Ina covered transaction knowingly enters Into a lower tier covered transaction with a person who is suspended, debarred, Ineligible, or voluntarily excluded from participation In this transaction, in addition to other remedies available to the Federal Government, the DOL may pursue available remedies, including suspension andlor debarment. Page 2 of 2