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EXHIBIT B CERTIFICATION REGARDING DEBARMENT, SUSPENSION ANO OTHER RESPONSIBILITY MATTERS Al�ptic,tniv should refer to the regulalions Cited ttefow to deternii lie Ili:ceriifIcmion to which dloy are regtliI—OC to ,,Most, Applicants should also roview the itt�tructioils liar certilicatiurt incltldcd itt (llt; regulatiolis t1eiot-c corlipletilig this fi►t•ltt, Signature of'tltis #orw provides r0r ccllttl)Ii"lice with cer€ilication require:tttettls under the iplilicable CFR covering New restrictions on (iovcrnniew wide Dchat- lent and Suspension (Ncntltrucurentent.), 'l he CUtille:ation 'shill law tre"Ited as a 111aleri,tl of Iltc:t upon which relialwc will be placcd when the Agency deterltmics to award Lltu coVct-CLI €rannaction or cooperative:agrt^ctntttt;� As required by Executive Order 12549, Debarment and Suspension, and implemented under the applicable CFR, for prospective participants in covered transactions, as defined in the applicable CFR A. The applicant certifies that it and its principals. (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of 1=edcral benefits by a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency; (b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal State or local) with commission of any of these offenses enumerated in paragraph (1) (b)of this certification; and (d) Have not within a three-year period preceding this application had one or more public transactions (Federal, State or local) terminated for cause or default; and B. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application, A _ Med__ _ Address;--/ Autho gent Signatumm Printed or y p edame J Title Exhibit B - Page 1 of 2