Laserfiche WebLink
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 Participants <br /> Regarding Transactions. The regulations were published as Part VII of the May 26, 1988 Federal Register <br /> ster <br /> (pages 19160-19211),and subsequently amended in 81 Federal Register 25585. <br /> (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION - <br /> Attached) <br /> 1. The prospective recipient of federal assistance certifies to the best of its knowledge and belief,that it and <br /> 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 CFR <br /> 180.800(a) convicted or had a civil judgment rendered against them for one of those offenses within that <br /> time period. <br /> c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, <br /> State or local)with commission of any of the offenses listed in 2 CFR 180.800(a);and <br /> d. Have not had one or more public transactions(Federal, State or local)terminated within the preceding <br /> three years for cause or default. <br /> 2. Where the prospective recipient of federal assistance is unable to certify to any of the statements in this <br /> certification, such prospective participant shall attach an explanation to this proposal. <br /> Name and Title of Authorize epresentative <br /> - r 24 2c�7 <br /> Sign e Date <br /> EXHIBIT C <br /> Page 1 of 2 <br />