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<br />/7 I <br />/; ~~ fl 11 if <br />/ ~. c:~~j /i/1t&v6 <br />! Name <br /> <br />Executive DIrector <br />Title <br /> <br />04/27 /07 <br />Ihll e <br /> <br />Certification Regarding <br />Debarment, Suspension, lneligibilitv and Voluntary Exclusion <br />Lower Tier Covered Transactions <br /> <br />This certification is required by the regulations implementing Executive Order 12549, <br />Debannent and Suspension, 29 CFR Part 98, Section 98,510, Participants' Responsibilities, <br />The regulations were published as Part VlI of the May] 6, 1988, Federal Register (Pages <br />19160-19211). <br />(Before com pleting certification, read instructions which are all integral part of certification) <br /> <br />1. The prospective primary participant, (i.e. grantee) certifies to the best of its knowledge <br />and belief 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 not within a three-year period preceding this proposal been convicted or <br />had a civil judgment rendered against them for commission offraud 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 />of federal 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 not presently indicted for or otherwise criminally or civilly charged by a <br />government entity (federal, state or local) with commission of any of the offenses <br />enumerated in paragraph (I)(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, Where the prospective primary participant is unable to certify to any of the statements in <br />this certification, such prospective participant shall attach an explanation to this proposal. <br /> <br />Taller San Jose <br />Grantee/Contractor Organization <br />