Laserfiche WebLink
ATTACHMENT H <br /> CERTIFICATE OF DEBARMENT <br /> Certification Regarding <br /> Debarment,Suspension,Ineligibility and Voluntary Exclusion <br /> Lower Tier Covered Transactions <br /> This certification is required by the regulations implementing Executive Order 12549,as amended, <br /> Nonprocurement Debarment and Suspension,2 CFR Part 2998, Subpart C, Responsibilities of <br /> Participants Regarding Transactions. The regulations were published as Part VII of the May 26,1988, <br /> Federal Register(Pages 19160-19211),and as subsequently amended in 81 Federal Register 25585. <br /> (Before completing certification,read instructions which are an integral part of certification) <br /> 1. Pursuant to 2 CFR 180.335,the prospective primary participant, (i.e.grantee)certifies to the best of <br /> its knowledge and belief,that it and its principals: <br /> a. Are not presently excluded or disqualified; <br /> b. Have not been convicted within the preceding three years of any of the offenses listed in 2 <br /> CFR 180.800(a)or had a civil judgment rendered against them for one of those offenses within <br /> that time period. <br /> c. Are not presently indicted for or otherwise criminally or civilly charged by a government <br /> entity(Federal,State or local)with commission of any of the offenses listed in 2 CFR 180.800(a); <br /> and <br /> d. Have not had one or more public transactions(Federal,State or local)terminated within the <br /> preceding three years 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 prospectiveparticipant shall attach an explanation to this proposal. <br /> a- 9 fi <br /> ' (L <br /> Consultant is <br /> Name and Title of Official Auflorized to Certify <br /> On Behalf of the Consultant <br /> Date <br /> RFP 24-022A City of Santa Ana Page 50 of 51 <br />