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ATTACHMENT C <br /> CERTIFICATION REGARDING DEBARMENT, SUSPENSION, <br /> INELIGIBILITY, AND VOLUNTARY EXCLUSION <br /> This certification is required by the regulations implementing Executive Order 12549,as amended, <br /> Nonprocurement Debarment and Suspension,2 CFR Part 2998,Subpart C, Responsibilities of Participants <br /> Regarding Transactions.The regulations were published as Part VII of the May 26, 1988, Federal Register(Pages <br /> 19160-19211),and as subsequently amended in 81 Federal Register 25585. <br /> (Before completing certification, read instructions which are an integral part of certification) <br /> 1. Pursuant to 2 CFR 180.335,the prospective primary participant, (i.e.grantee)certifies to the best of its <br /> knowledge and belief,that it and its principals: <br /> a.Are not presently excluded or disqualified; <br /> b. Have not been convicted within the preceding three years of any of the offenses listed in 2CFR <br /> 180.800(a)or had a civil judgment rendered against them for one of those offenses within that time <br /> period. <br /> c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity <br /> (Federal, State or local)with commission of any of the offenses listed in 2 CFR 180.800(a);and <br /> d. Have not had one or more public transactions(Federal,State or local)terminated within the <br /> preceding three years for cause or default. <br /> 2. Where the prospective primary participant is unable to certify to any of the statements in this certification, <br /> such prospective participant shall attach an explanation to this proposal. <br /> Signature 0 <br /> 011(' <br /> Name and Title of Official Authorized to Certify <br /> - r <br /> On Behalf of Vendor <br /> Date <br /> THIS FORM MUST BE COMPLETED AND INCLUDED WITH THE PROPOSAL. <br /> PROPOSALS THAT DO NOT CONTAIN THIS FORM WILL BE CONSIDERED NONRESPONSIVE. <br />