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<br />Attachment E <br /> <br />Certification Rel!:ardinl!. <br />Debarment, Suspension, Inelil!.ibilitv and Voluntary Exclusion <br />Lower Tier Covered Transactions <br /> <br />This certification is required by the regulations implementing Executive Order 1 2549, <br />Debarment and Suspension, 29 CFR Part 98, Section 98.5l 0, Participants' Responsibilities. T~e <br />regulations were published as Part VII-of the May 16, jEJ88,Federa:lRegister (Pages 19l 60' <br />1921 l). <br />(Before completing certification, read instructions which are an integral part of <br />certification) <br /> <br />1. The prospective primary participant, (i.e. grantee) certifies to the best of its knowledge and, <br />belief, that it and its principals: <br /> <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 /> <br />b. Have not within a three-year period preceding this proposal been convicted or had a <br />civil judgment rendered against them for commission of fraud or a criminal offense in <br />connection with obtaining, attempting to obtain, or performing a public (federal, state m <br />local) transaction or contract under a public transaction; violation of federal or state <br />antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification DI; <br />destruction of records, making false statements, or receiying stolen property. <br /> <br />c. Are not presently indicted for or otherwise criminally or civilly charged by a <br />government entity (federal, state or local) with commission of any of the offenses <br />enumerated in paragraph (l )(b) of this certification; and <br /> <br />d. Have not within a three-year period preceding this application/proposal had one or <br />more public transactions (federal, state or local) terminated for cause or default. <br /> <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 /> <br />~~ <br /> <br />Grantee/Contractor Organization <br /> <br />())'-tl1ltlJttl!-vi '/v he? ldur <br /> <br />Name and Title of Official Pc thorized to Certify <br />On Behalf ofthe Grantee <br /> <br /> <br />In ':t J:2 , J-OO? <br />Date ) <br /> <br />31 <br />