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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 <br />available remedies, Including suspension and /or debarment, <br />3. The prospective recipient of federal assistance funds shall provide Immediate written notice to <br />the person to whom this proposal is submitted if at any time the prospective recipient of Federal <br />assistance funds learns that Its certification was erroneous when submitted or has become <br />erroneous by reason of changed circumstances. <br />4. The terms "covered transaction", " debarment ", 'suspended", "Ineligible ", °lower tier covered <br />transaction ", "participant', "person ", "primary covered transaction ", "principle ", "proposal ", and <br />"voluntarily excluded ", as used In this cause, have the meanings set out In the Definitions and <br />Coverage sections of rules implementing Executive Order 12549, You may contact the person to <br />wham this proposal is submitted for assistance In obtaining a copy of those regulations. <br />5. The prospective recipient of Federal assistance funds agrees by submitting this proposal that, <br />should the proposed covered transaction be entered into, It shall not knowingly enter Into any <br />lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or <br />voluntarily excluded from participation In this covered transaction, unless authorized by the DOL, <br />6. The prospective recipient of Federal assistance funds agrees by submitting this proposal, that It <br />will Include the clause title "Certification Regarding Debarment, Suspension, Ineligible, or <br />voluntarily excluded" from the covered transaction unless It knows that the certification is <br />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 />B. 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, orvoluntary 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 />Exhibit 1) <br />SAC -16 -004 <br />