Laserfiche WebLink
Exhibit H <br />Certification Regarding <br />Debarment, Suspension, Ineligibilih~ and Voluntary Exclusion <br />Lower Tier Covered Transactions <br />This certification is required by the regulations implementing Executive Order 12549, Debarment <br />and Suspension, 29 CFR Part 98, Section 98.510, Participants' Responsibilities. The regulations <br />were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Before <br />completing certification, read the attached instructions <br />1. The prospective primary participant, (i.e., grantee) certifies to the best of its knowledge and <br />belief, that it gild its principals: <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 athree-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, <br />or local) transaction or contract under a public transaction; violation of federal or state <br />antitrust statues or commission of embezzlement, theft, forgery, bribery, falsification or <br />destruction of records, making false statements or receiving stolen property; <br />c. Are not presently indicted for or otherwise criminally or civilly charged by a <br />government entity (federal, state or local) with commssion of any of the offenses <br />enumerated in paragraph (1)(b) of this certification; and <br />d. Have not within a three year period preceding this applicatioi~/proposal had one or more <br />public transaction (federal, state or local) terminated for cause or default. <br />V~rliere the prospective primary recipient of federal funds is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an explanation to <br />this proposal.. <br />CSU FULLE ON AU%II~RY S RVICES CORPORATION <br />~ ~ ~ / <br />i~ f / ~ i <br />Grantee/Contractor Organization <br />William M. pickerson <br />Executive Director <br />Name and Title of Official Authorized to Certify <br />On Behalf of 1e Grant <br />;'_ / , /' <br />Signature Date <br />