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ATTACHMENT H <br /> CERTIFICATE OF DEBARMENT <br /> INSTRUCTION FOR CERTIFICATION <br /> 1. By signing and submitting this proposal,the prospective recipient of Federal assistance funds is <br /> providing the certification as set out below. <br /> 2. The certification in this clause is a material representation of fact upon which reliance was placed <br /> when this transaction was entered into. If it is later determined that the prospective recipient of <br /> Federal assistance funds knowingly rendered an erroneous certification,in addition to other <br /> remedies available to the Federal Government,the Department of Labor(DOL) may pursue available <br /> remedies, including suspension and/or debarment. <br /> 3. The prospective recipient of Federal assistance funds shall provide Immediate written notice to the <br /> person to which this proposal is submitted if at any time the prospective recipient of Federal <br /> assistance funds learns that its certification was erroneous whom submitted or has become <br /> erroneous by reason of changed circumstances. <br /> 4. The terms"covered transaction", "debarment","suspension","disqualified," "ineligible", "lower tier <br /> covered transaction", "participant","person", "primary covered transaction", "principal", <br /> "proposal",and "voluntarily excluded",as used in this cause, have the meanings set out in the <br /> Definitions and Coverage sections of rules Implementing Executive Order 12549. You may contact <br /> the person to whom this proposal is submitted for assistance in obtaining a copy of those <br /> regulations. <br /> 5. The prospective recipient of Federal assistance funds agrees by submitting this proposal that,should <br /> the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier <br /> covered transaction with a person who is debarred,suspended,disqualified, declared ineligible,or <br /> voluntarily excluded from participation in this covered transaction,unless authorized by the DOI-. <br /> 6. The prospective recipient of Federal assistance funds agrees by submitting this proposal,that it will <br /> include the clause title"Certification Regarding Debarment,Suspension, Ineligible,or voluntarily <br /> excluded from the covered transaction"unless it knows that the certification is erroneous. <br /> 7. Nothing contained in the foregoing shall be construed to require establishment of a system of <br /> records in order to render in good faith the certification required to exceed that which is normally <br /> possessed by a prudent person in the ordinary course of business dealings. <br /> 8. Except for transactions authorized under paragraph 5 of these instructions, If a participant in a <br /> covered transaction knowingly enters into a lower tier covered transaction with a person who is <br /> suspended, debarred, Ineligible,or voluntary excluded from participation in this transaction, in <br /> addition to other remedies available to the Federal Government,the DOL may pursue available <br /> remedies, including suspension and/or debarment. <br /> RFP 24-022A City of Santa Ana Page 51 of 51 <br />