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<br />INSTRUCTIO( SFOitClrld 11P.1W10N
<br />1. By signing and submitting this proposal, the prospective recipient of federal assistance funds is
<br />providing the certification as set out below,
<br />2, The certification In this clause Is a material representation of fact upon which reliance was placed,
<br />when this transaction was entered Into. If it is later determined that the prospective recipient of i
<br />federal assistance funds knowingly rendered an erroneous certiiioatlon, in addition to other remedies
<br />available to the Federal 0overnment, the Dopartment of Labor (DOL) may pursue available
<br />remedies, including suspension and/or debarment,
<br />3, The prospective recipient of federal assistance funds shall provide Immediate written notice to the
<br />person to which this proposal is submitted if at any time the prospective recipient of federal
<br />assistance funds learns that its certification was erroneous when submitted or has become erroneous
<br />by reason of changed circumstances,
<br />4. The terms "covered hansaction," "dobarred," "suspended," "Ineligible," "lower tier covered
<br />transaction," "participant," "person," "primary covered transaction," "prineipsl," "proposal," and
<br />"voluntarily excluded," as used in this Clause, have the meanings set out In the Definitions and
<br />Coverage sections of rules implementing rXeentive Order 12549, You may contact the person to
<br />which this proposal is submitted for assistance in obtaining a copy of those regulations,
<br />5, The prospective recipient of federal assistance funds agrees by submitting this proposal that, should
<br />the proposed covered transaction be entered Into, it shall not knowingly enter into trey lower tier
<br />covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily
<br />excluded from par iletpution in this covered transaction, unless authorized by the DOL,
<br />6, 'rho prospective recipient of federal assistance funds furthor agrees by submitting this proposal that
<br />It will include the clause titled "Cortitication :Regarding Debarment, Suspension, ineligibility and
<br />Voluntary exclusion - Lower Tier Covered Transactions," without modification, in all lower tlor
<br />covered transactions and In all solicitations for lower tier covered transactions.
<br />7. A participant in a covered transectlon may rely upon a certification of a prospective participant in a
<br />lower tier covered transaction that It is not debarred, suspended, Ineligible, or voluntarily excluded
<br />from the covered transaction, unless It knows that the certification is erroneous, A participant may
<br />deckle the method and frequency by which it determines the eligibility of its principals. Each
<br />participant may, but is net required to check the List of Partial FAcl l ]� fry oourement on.
<br />Procurement Progu_'ams,
<br />8, Nothing contained In the, foregoing shall be construed to require establishment of a system of
<br />records in order to rendor In good faith the certification required by this clause. The knowledge and
<br />Information of a participant Is not required to excood that which is normally possessed by a prudent
<br />person in the ordinary course of business dealings.
<br />9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a
<br />covered transaction knowingly enters into a lower tier covered transaction with a person who Is
<br />suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, In
<br />addition to other remedies available to the Fedoral Government, the DOL may pursue available
<br />rernadies, inoluding suspension and/or debarment
<br />EXHIBIT I;
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