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public transaction; violation of federal or State antitrust statutes; <br />commission of embezzlement, theft, forgery, or bribery; <br />falsification or destruction of records; making false statements; <br />or receiving stolen property; <br />iii. Are not presently indicted for or otherwise criminally or civilly <br />charged by a governmental entity (federal, state, or local) with <br />commission of any of the offenses enumerated in paragraph b <br />of this certification; <br />iv. Have not, within a three (3) year period preceding this <br />Agreement, had one or more public (federal, state, or local) <br />transactions terminated for cause or default; <br />v. If any of the above conditions are true for the Subgrantee, any <br />of its officers, or any sub - subgrantee(s), Subgrantee shall <br />describe such condition(s) in writing and submit this information <br />to Subgrantor with the other forms Subgrantee must complete <br />and return prior to Subgrantor's execution of this Agreement. <br />Based on the description, Subgrantor in its discretion may <br />decline to execute this Agreement, or set further conditions of <br />this Agreement. In the event any of the above conditions are <br />true and not disclosed by Subgrantee, it shall be deemed a <br />material breach of this Agreement, and Subgrantor may <br />terminate this Agreement for cause immediately pursuant to the <br />termination provisions of State and federal law governing the <br />this Agreement; and <br />vi. As provided in this Agreement, Subgrantee must certify in <br />writing to the best of its knowledge that any sub - subgrantee(s) <br />are not presently debarred, suspended, proposed for <br />debarment, declared ineligible, or voluntarily excluded from <br />covered transactions by any federal department or agency. <br />c. Affirmative Action Compliance <br />i. Each Subgrantee or sub - Subgrantee with 50 or more employees <br />and an agreement of $50,000 or more shall be required to <br />develop a written Affirmative Action Compliance Program; <br />ii, The written program shall follow the guidelines set forth in Title <br />41 CFR Section 60 1.40, Sections 60 2.10 through 60 2.32, <br />Sections 60 250.1 through 60 250.33, and Sections 60 741.4 <br />through 60 741.32; and <br />PICH Subcontract Page 29 <br />CFDA Number: 93.331 <br />Federal Award Identification Number (FAIN): U58DPODS861 <br />Grant Number: 1U58DP005861 -01 <br />Funding Opportunity Announcement Number: CDC- RFA -DP14 -1417 <br />20A -31 <br />