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Instructions for Primary Tier Participant Certification (States) <br />1. By signing and submitting this proposal, the prospective primary tier participant is providing the <br />certification set out below and agrees to comply with the requirements of 2 CFR parts 180 and 1200. <br />2. The inability of a person to provide the certification required below will not necessarily result in denial <br />of participation in this covered transaction. The prospective primary tier participant shall submit an <br />explanation of why it cannot provide the certification set out below. The certification or explanation will <br />be considered in connection with the department or agency's determination whether to enter into this <br />transaction. However, failure of the prospective primary tier participant to furnish a certification or an <br />explanation shall disqualify such person from participation in this transaction. <br />3. The certification in this clause is a material representation of fact upon which reliance was placed <br />when the department or agency determined to enter into this transaction. If it is later determined that <br />the prospective primary tier participant knowingly rendered an erroneous certification, in addition to <br />other remedies available to the Federal Government, the department or agency may terminate this <br />transaction for cause or default or may pursue suspension or debarment. <br />4. The prospective primary tier participant shall provide immediate written notice to the department or <br />agency to which this proposal is submitted if at any time the prospective primary tier participant learns <br />its certification was erroneous when submitted or has become erroneous by reason of changed <br />circumstances. <br />5. The terms covered transaction, civil judgment, debarment, suspension, ineligible, participant, person, <br />principal, and voluntarily excluded, as used in this clause, are defined in 2 CFR parts 180 and 1200. <br />You may contact the department or agency to which this proposal is being submitted for assistance in <br />obtaining a copy of those regulations. <br />6. The prospective primary tier participant agrees by submitting this proposal that, should the proposed <br />covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction <br />with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, <br />suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, <br />unless authorized by the department or agency entering into this transaction. <br />7. The prospective primary tier participant further agrees by submitting this proposal that it will include <br />the clause titled "Instructions for Lower Tier Participant Certification" including the "Certification <br />Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion —Lower Tier Covered <br />Transaction," provided by the department or agency entering into this covered transaction, without <br />modification, in all lower tier covered transactions and in all solicitations for lower tier covered <br />transactions and will require lower tier participants to comply with 2 CFR parts 180 and 1200. <br />8. A participant in a covered transaction may rely upon a certification of a prospective participant in a <br />lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, <br />debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows <br />that the certification is erroneous. A participant is responsible for ensuring that its principals are not <br />suspended, debarred, or otherwise ineligible to participate in covered transactions. To verify the <br />eligibility of its principals, as well as the eligibility of any prospective lower tier participants, each <br />participant may, but is not required to, check the System for Award Management Exclusions website <br />(https•//www.sam.aov/). <br />9. Nothing contained in the foregoing shall be construed to require establishment of a system of records <br />in order to render in good faith the certification required by this clause. The knowledge and <br />information of a participant is not required to exceed that which is normally possessed by a prudent <br />person in the ordinary course of business dealings. <br />10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered <br />transaction knowingly enters into a lower tier covered transaction with a person who is proposed for <br />debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded <br />from participation in this transaction, in addition to other remedies available to the Federal government, <br />the department or agency may terminate the transaction for cause or default. <br />^___.�:__ , w E Q,,enoneinn AnrintherResoonsibilitvMatters-PrimaryTierCovered <br />(1) The prospective primary tier participant certifies to the best of its knowledge and belief, that it and its <br />principals: <br />(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily <br />excluded from participating in covered transactions by any Federal department or agency; <br />(b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment <br />9/30/2022 4:02:25 PM Page 16 of 20 <br />