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Certification Regarding <br />Debarment, Suspension lnell_gibility and Voluhtary Exclusion <br />Lower Tier Covered Transactions <br />This certification is required by the regulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CFR Part 98, Section 98.510, Participants" Responsibilities. The regulations were <br />published as PartVll of the May16, 1988, Federal Register (Pages 19160=19211), <br />(Before completing certification, read instructions which are an integral part of certification) <br />1. The prospective primary participant, (I.e. grantee) certifies to the best of its knowledge and belief, <br />that it and Its principals: 11, <br />a., Are not presently debarred, suspended,_ proposed for debarment, declared ineligible, or <br />voluntarily excluded from covered transactions by any federal department or agency; <br />b. Have not within threeryear period preceding this proposal been convicted or had a civil <br />Judgment rendered against them for commission of fraud or a criminal offense in connection <br />with obtaining; atteTpOrig to obtain, or performing a public (federal, state or local) transaction <br />or contract under a public asaction; violation of federal or state antitrust statues or <br />comirtlsslon of embezzlement, theft, forgery, bribery, falsification or destruction of records; <br />making false statements; or receiving stolen property, <br />c. Are not presently Indicted for or otherwise criminally or civilly charged by a governmentg <br />entity (federal, state or local) with commission of any of the offenses enumerated in paragraph <br />(1)(b) of this certification; and <br />d; Have not within a three-year period preceding this application/proposal had one or more <br />publictransaetions (federal, state or local) terminated for cause or default. <br />2. Where the prospective primary participant is unable to certify to any of the statements In this <br />certification, such prospective participant shall attach an explanation to this proposal. <br />'yeytk p,r vir"g Shoal <br />Name and Title of Official <br />On Behalf of the Grantee <br />Date <br />INSTRUCTION FOR CERTIFICATION <br />EXHIBIT F <br />