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DocuSign Envelope ID:098D4B61-B495-429F-BABC-OAF46D368454 <br /> INSTRUCTIONS FOR CERTIFICATION <br /> 1. By signing and submitting this proposal,the prospective recipient of federal assistance funds <br /> is providing the certification as set out below. <br /> 2. The certification in this clause is a material representation of fact upon which reliance was <br /> placed when this transaction was entered into. If it is later determined that the prospective <br /> recipient of federal assistance funds knowingly rendered an erroneous certification, in <br /> addition to other remedies available to the Federal Government, the Department of Labor <br /> (DOL)may pursue available remedies, including suspension and/or debarment. <br /> 3. The prospective recipient of federal assistance funds shall provide immediate written notice <br /> to the person to which this proposal is submitted if at any time the prospective recipient of <br /> federal assistance funds learns that its certification was erroneous when submitted or has <br /> become erroneous by reason of changed circumstances. <br /> 4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered <br /> transaction," "participant," "person," "primary covered transaction," "principal," "proposal," <br /> and "voluntarily excluded," as used in this clause, have the meanings set out in the <br /> Definitions and Coverage sections of rules implementing Executive Order 12549. You may <br /> contact the person to which this proposal is submitted for assistance in obtaining a copy of <br /> 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 <br /> any lower tier covered transaction with a person who is debarred, suspended, declared <br /> ineligible, or voluntarily excluded from participation in this covered transaction, unless <br /> authorized by the DOL. <br /> 6. The prospective recipient of federal assistance funds further agrees by submitting this <br /> proposal that it will include the clause titled "Certification Regarding Debarment, <br /> Suspension, Ineligibility and voluntary exclusion - Lower Tier Covered Transactions," <br /> without modification, in all lower tier covered transactions and in all solicitations for lower <br /> tier covered transactions. <br /> 7. A participant in a covered transaction may rely upon a certification of a prospective <br /> participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or <br /> voluntarily excluded from the covered transaction, unless it knows that the certification is <br /> erroneous. A participant may decide the method and frequency by which it determines the <br /> eligibility of its principals. Each participant may, but is not required to check the List of <br /> Parties Excluded from Procurement or Non-Procurement Programs. <br /> 8. Nothing contained in the foregoing shall be construed to require establishment of a system <br /> of records in order to render in good faith the certification required by this clause. The <br /> knowledge and information of a participant is not required to exceed that which is normally <br /> possessed by a prudent person in the ordinary course of business dealings. <br /> City Council 26 — 319 5/3/2022 <br /> 28 <br />