WPC# cQK lBNjq<{"n}xg]yDu2|m=S&KO4T@n(FYo2*jq53="H}:;OKzòkfU?~4~ދBDİ`$CVmaoKZ*!ˆO`fbh vDN67gխעęq<_<452J tf ]B^ty]Fe|yPY#Z@nSy$qS%5(0\mb(Ƈ hvNc~  qC85nY(6{drU'j`~Ca)ɢg(8 Ʋ) 8~ :!C=|b ӖӊsnB:3?wGj:\)qOl&4#ݪұHyhpzm!U7B % 0 0tO 0 0 0M 0 0 \k 0W U.L 0DE" nY 0r8 BUBUB"w.#4I#I# B]# Bz#\  `*Times New RomanTT'   ,U.S. DEPARTMENT OF AGRICULTURE ,Clifton A. Burris,0Clifton A. Burris .   H4heading 1heading 1&    W\  `*Times New RomanTTW         W\  `*Times New RomanTTW'  h:Default ParaDefault Paragraph FontXXXW\  `*Times New RomanTTW        W\  `*Times New RomanTTW<5T.headerheader   !        >4X` hp x (#><5T.footerfooter   !        >4X` hp x (#>P!8Body Text 2Body Text 2          `!:Body Text InBody Text Indent 2          P8page numberpage numberXXXW\  `*Times New RomanTTW        W\  `*Times New RomanTTWT}:Document MapDocument Map  C %2A`ArialTTC        W\  `*Times New RomanTTW%2A`ArialTT  Y)JJJ      !X      DebarmentCertification(Computergeneratedfacsimile,Version1,6/98)     X!   XpXJXpXXXp      JXXpԀPage@    1  A  Ԁof??US.,2     JJJJ  US??.,@      H4X` hp x (#XH  ?+ 4 <DL!X?(e2Y$ !JJJ     X  X    )     !         DebarmentCertification(Computergeneratedfacsimile,Version1,6/98)   XXXW\  `*Times New RomanTTW      W\  `*Times New RomanTTWԀPage@  A  Ԁof ?? 2    US @..  5+ 4 <DL!53|x\  `*Times New RomanTTC\  P6QP\  `*Times New RomanTT^\  P6QP\  `*Times New RomanTTXXP\  P6QXP%2A`ArialTTomanTTJ2PQP\  `*Times New RomanTT&&J\  P6Q&P(J$   d  M:)      !X      DebarmentCertification(Computergeneratedfacsimile,Version1,6/98)     X!   XyXXyXXXy      XXyԀPage@    1  A  Ԁof??US.,2       US??.,@      H4X` hp x (#XH  ?+ 4 <DL!X?\  `*Times New RomanTT  M:)      !X      DebarmentCertification(Computergeneratedfacsimile,Version1,6/98)     X!   XyXXyXXXy      XXyԀPage@    1  A  Ԁof??US.,2       US??.,@      H4X` hp x (#XH  ?+ 4 <DL!X?\  `*Times New RomanTTgag Ӏc^%wad  dP Pd !JJJ   X      XpXJ    JXXp?'!dE!?  FJ C&&FERTIFICATIONF&&R&&FEGARDINGF&&D&&FEBARMENT,F&&S&&FUSPENSION,ANDF&&O&&FTHER ` F&&R&&FESPONSIBILITYF&&M&&FATTERSF&&P&&FRIMARYF&&C&&FOVEREDF&&T&&FRANSACTIONS  t   A) xdE AA) xdE AA) xdE A    J&&4  XpXJ INSTRUCTIONSFORCERTIFICATION  k  4  0 4   4!4! 0 4  JXXp1. 4 Bysigningandsubmittingthisproposalform,theprospectiveprimaryparticipantisprovidingthecertification C  setoutbelow. 4!4! 0 4   4!4! 0 4  2. 4 Theinabilityofapersontoprovidethecertificationrequiredbelowwillnotnecessarilyresultindenial    ofparticipationinthecoveredtransaction.Theprospectiveparticipantshallsubmitanexplanationofwhyitcannotprovidethecertificationsetoutbelow.Thecertificationorexplanationwillbeconsideredinconnectionwiththedepartmentoragencysdeterminationwhethertoenterintothistransaction.However,failureoftheprospectiveprimaryparticipanttofurnishacertificationoranexplanationshalldisqualifysuchpersonfromparticipationinthistransaction. 4!4! 0 4   4!4! 0 4  3. 4 Thecertificationinthisclauseisamaterialrepresentationoffactuponwhichreliancewasplacedwhen ; thedepartmentoragencydeterminedtoenterintothistransaction.Ifitislaterdeterminedthattheprospectiveprimaryparticipantknowinglyrenderedanerroneouscertification,inadditiontootherremediesavailabletotheFederalGovernment,thedepartmentoragencymayterminatethistransactionforcauseordefault. 4!4! 0 4   4!4! 0 4  4. 4 Theprospectiveprimaryparticipantshallprovideimmediatewrittennoticetothedepartmentoragency  towhichthisproposalissubmittedifatanytimetheprospectiveprimaryparticipantlearnsthatitscertificationwaserroneouswhensubmittedorhasbecomeerroneousbyreasonofchangedcircumstances. 4!4! 0 4   4!4! 0 4  5. 4 Thetermscoveredtransaction,debarred,suspended,ineligible,lowertiercoveredtransaction, W participant,person,primarycoveredtransaction,principal,proposal,andvoluntarilyexcluded,as o usedinthisclause,havethemeaningssetoutintheDefinitionsandCoveragesectionsoftherulesimplementingExecutiveOrder12549.Youmaycontactthedepartmentoragencytowhichthisproposalisbeingsubmittedforassistanceinobtainingacopyofthoseregulations. 4!4! 0 4   4!4!         0 4  6. 4 Theprospectiveprimaryparticipantagreesbysubmittingthisproposalthat,shouldtheproposedcovered G# transactionbeenteredinto,itshallnotknowinglyenterintoanylowertiercoveredtransactionswithapersonwhoisproposedfordebarmentunder48CFRpart9,subpart9.4,debarred,suspended,declaredineligible,orvoluntarilyexcludedfromparticipationinthiscoveredtransaction,unlessauthorizedbythedepartmentoragencyenteringintothistransaction. 4!4!       0 4   4!4! 0 4  7. 4 Theprospectiveprimaryparticipantfurtheragreesbysubmittingthisproposalformthatitwillincludethe $) clausetitled CertificationRegardingDebarment,Suspension,IneligibilityandVoluntaryExclusionLowerTierCoveredTransaction,providedbythedepartmentoragencyenteringintothiscoveredtransaction,withoutmodification,inalllowertiercoveredtransactionsandinallsolicitationsforlowertiercoveredtransactions. 4!4! 0 4   4!4! 0 4  8. 4 Aparticipantinacoveredtransactionmayrelyuponacertificationofaprospectiveparticipantinalower ')w$/ tiercoveredtransactionthatitisnotproposedfordebarmentunder48CFRpart9,subpart9.4,debarred,suspended,ineligible,orvoluntarilyexcludedfromthecoveredtransaction,unlessitknowsthatthecertificationiserroneous.Aparticipantmaydecidethemethodandfrequencybywhichitdeterminestheeligibilityofitsprincipals.Eachparticipantmay,butisnotrequiredto,checktheListofPartiesExcludedfromFederalProcurementandNonprocurementPrograms. 4!4! 0 4  -)54!4! 0 4  9. 4 Nothingcontainedintheforegoingshallbeconstruedtorequireestablishmentofasystemofrecordsin  ordertorenderingoodfaiththecertificationrequiredbythisclause.Theknowledgeandinformationofaparticipantisnotrequiredtoexceedthatwhichisnormallypossessedbyaprudentpersonintheordinarycourseofbusinessdealings. 4!4! 0 4   4!4! 0 4  10. 4 Exceptfortransactionsauthorizedunderparagraph6oftheseinstructions,ifaparticipantinacovered  transactionknowinglyentersintoalowertiercoveredtransactionwithapersonwhoisproposedfordebarmentunder48CFRpart9,subpart9.4,suspended,debarred,ineligible,orvoluntarilyexcludedfromparticipationinthistransaction,inadditiontootherremediesavailabletotheFederalGovernment,thedepartmentoragencymayterminatethistransactionforcauseordefault. 4!4! 0 4   4!4!   &    FJFF       XpXF CERTIFICATION    0  Q     JXXpJJ' a          FJ '   0 4  JF (1) 4 Theprospectiveprimaryparticipantcertifiestothebestofitsknowledgeandbelief,thatitandits 0  principals: 4!4! 0 4   4!4! 0 4  (a) 4 Arenotpresentlydebarred,suspended,proposedfordebarment,declaredineligible,orvoluntarily ,|  excludedbyanyFederaldepartmentoragency; 4!4! 0 4 0 4!4! 4   ! !          0 4  (b) 4 Havenotwithinathreeyearperiodprecedingthisproposalbeenconvictedoforhadaciviljudgment x renderedagainstthemforcommissionoffraudoracriminaloffenseinconnectionwithobtaining,attemptingtoobtain,orperformingapublic(Federal,Stateorlocal)transactionorcontractunderapublictransaction;violationofFederalorStateantitruststatutesorcommissionofembezzlement,theft,forgery,bribery,falsificationordestructionofrecords,makingfalsestatements,orreceivingstolenproperty; 4!4!  8"      0 4 0 4!4! 4   ! ! 0 4  (c) 4 Arenotpresentlyindictedfororotherwisecriminallyorcivillychargedbyagovernmentalentity $ (Federal,Stateorlocal)withcommissionofanyoftheoffensesenumeratedinparagraph(1)(b)ofthiscertification;and 4!4! 0 4 0 4!4! 4   ! ! 0 4  (d) 4 Havenotwithinathreeyearperiodprecedingthisapplication/proposalhadoneormorepublic 4 transactions(Federal,Stateorlocal)terminatedforcauseordefault. 4!4! 0 4 0 4!4! 4   ! ! 0 4  (2) 4 Wheretheprospectiveprimaryparticipantisunabletocertifytoanyofthestatementsinthis 0" certification,suchprospectiveparticipantshallattachanexplanationtothisproposal. 4!4! 0 4   4!4! 0 4   4!4! 0 4    <      D      L    @  4!4! 0 4   4 OrganizationName <      D   PR/AwardorProjectName#T'4!4! 0 4   4!4! 0 4   4 President  <      D      L    @ $)4!4! 0 4   4 NameandTitle 4!4! 0 4   4!4! 0 4    <      D      L    @  4!4! 0 4   4 Signature  <      D      L Date'"-4!4!