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<br />Certification RegardinlZ <br />DebarmenL Suspcnsion. Ineligibilitv and VoluntarY Exclusion <br />Lower Tier Covered Transactions <br /> <br />This certification is required by the regulations implementing Executive Order] 2549, <br />Debarment and Suspension, 29 CFR Part 98, Section 98.510, Participants' Responsibilities. <br />The regu]atlOns were publ1shed as Part VII or lhe May 16, 1988, Federal Register (Pages <br />19160-19211) <br /> <br />(Befort' completing certification, read instructions which are an integral part of certification) <br /> <br />]. The prospective primary participant (i.e. grantee) certifies to the best of its knowledge <br />and beliei~ that it and its principals: <br /> <br />a, Are not presently' debarred, suspended, proposed for debannent, declared <br />ineligible, or voluntarily excluded from covered transactions by any federal <br />department or agency; <br /> <br />b. Have nol within a three-year period preceding this proposal been convicted or <br />had a civil judgment rendered against them for commission of fraud or a criminal <br />offense in connection with obtaining, attempting to obtain, or performing a public <br />(federal, state or local) transaction or cOntract under a public transaction; violation <br />offederaJ or state antitrust statues or commission of embezzlement, theft, forgery, <br />bribery, falsification or destruction of records, making false statements, or receiving <br />stolen property. <br /> <br />c. Are n01 presently' indicted for or otherwise criminally or civilly charged by a <br />government entity (federal, Slate or local) with commission of any of the offenses <br />enumerated in paragraph (1 )(b) of this certification; and <br /> <br />d. Have not within .a three-year period preceding this application/proposal had one <br />or more public transactions (federal, state or local) terminated for cause or default. <br /> <br />2. V.,There the prospective primary participant is unable to certity to any' of the statements in <br />this certification, such prospective participant shall attach an explanation to this proposal. <br /> <br /> <br />f!cvq>-- <br />~-.. <br /> <br />7/,>~c ~ <br /> <br />Date <br /> <br />35 <br />