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DocuSign Envelope ID-07C464C4-FD86-434A-AO1B-558064E4E858 <br /> PO#:461001815 <br /> Routing#:22-HA3-ZG-00070 <br /> i. Nothing contained in the foregoing shall be construed to require the establishment of a system of records in order to render in <br /> good faith the certification required by this clause. The knowledge and information of the prospective participant is not <br /> required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. <br /> j. Except for transactions authorized under paragraph(f)of these instructions,if a participant in a covered transaction knowingly <br /> enters into a lower tier covered transaction with a person who is suspended,debarred,ineligible,or voluntarily excluded from <br /> participation in this transaction,in addition to other remedies available to the Federal Government,the department or agency <br /> may terminate this transaction for cause or default. <br /> 2. Certification Regarding Debarment,Suspension,Ineligibility and Voluntary Exclusion—First Tier Participants: <br /> a. The prospective first tier participant certifies to the best of its knowledge and belief,that it and its principals: <br /> (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from <br /> participating in covered transactions by any Federal department or agency, <br /> (2) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against <br /> them for commission of fraud or a criminal offense in connection with obtaining,attempting to obtain,or performing a <br /> public(Federal,State or local)transaction or contract under a public transaction;violation of Federal or State antitrust <br /> statutes or commission of embezzlement,theft, forgery,bribery, falsification or destruction of records,making false <br /> statements,or receiving stolen property; <br /> (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity(Federal,State or local) <br /> with commission of any of the offenses enumerated in paragraph(a)(2)of this certification;and <br /> (4) Have not within a three-year period preceding this application/proposal had one or more public transactions(Federal, <br /> State or local)terminated for cause or default. <br /> b. Where the prospective participant is unable to certify to any of the statements in this certification,such prospective participant <br /> shall attach an explanation to this proposal. <br /> 2 Instructions for Certification-Lower Tier Participants: <br /> (Applicable to all subcontracts,purchase orders and other lower tier transactions requiring prior FHWA approval or estimated to <br /> cost$25,000 or more-2 CFR Parts 180 and 1200) <br /> a. By signing and submitting this proposal,the prospective lower tier is providing the certification set out below <br /> b. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was <br /> entered into.If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, <br /> in addition to other remedies available to the Federal Government,the department,or agency with which this transaction <br /> originated may pursue available remedies,including suspension and/or debarment. <br /> c The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted <br /> if at any time the prospective lower tier participant learns that its certification was erroneous by reason of changed <br /> circumstances. <br /> d. The terms"covered transaction,""debarred,""suspended,""ineligible,""participant,""person,""principal,"and"voluntarily <br /> excluded,"as used in this clause,are defined in 2 CFR Parts 180 and 1200. You may contact the person to which this proposal <br /> is submitted for assistance in obtaining a copy of those regulations. "First Tier Covered Transactions"refers to any covered <br /> transaction between a grantee or subgrantee of Federal funds and a participant(such as the prime or general contract). "Lower <br /> Tier Covered Transactions"refers to any covered transaction under a First Tier Covered Transaction(such as subcontracts) <br /> "First Tier Participant"refers to the participant who has entered into a covered transaction with a grantee or subgrantee of <br /> Federal funds(such as the prime or general contractor). "Lower Tier Participant'refers any participant who has entered into <br /> a covered transaction with a First Tier Participant or other Lower Tier Participants(such as subcontractors and suppliers). <br /> e The prospective lower tier participant agrees by submitting this proposal that,should the proposed covered transaction be <br /> entered into,it shall not knowingly enter into any lower tier covered transaction with a person who is debarred,suspended, <br /> declared ineligible,or voluntarily excluded from participation in this covered transaction,unless authorized by the department <br /> or agency with which this transaction originated. <br /> f. The prospective lower tier participant fiirther agrees by submitting this proposal that it will include this clause titled <br /> "Certification Regarding Debarment,Suspension,Ineligibility and Voluntary Exclusion-Lower Tier Covered Transaction," <br /> without modification,in all lower tier covered transactions and in all solicitations for lower tier covered transactions exceeding <br /> the$25,000 threshold. <br /> g. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered <br /> transaction that is not debarred,suspended,ineligible,or voluntarily excluded from the covered transaction,unless it knows <br /> that the certification is erroneous.A participant is responsible for ensuring that its principals are not suspended,debarred,or <br /> otherwise ineligible to participate in covered transactions. To verify the eligibility of its principals,as well as the eligibility <br /> of any lower tier prospective participants,each participant may,but is not required to,check the Excluded Parties List System <br /> website(https://www.epis.gov/),which is compiled by the General Services Administration. <br /> h. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in <br /> good faith the certification required by this clause.The knowledge and information of participant is not required to exceed <br /> that which is normally possessed by a prudent person in the ordinary course of business dealings. <br /> i Except for transactions authorized under paragraph e of these instructions,if a participant in a covered transaction knowingly <br /> enters into a lower tier covered transaction with a person who is suspended,debarred,ineligible,or voluntarily excluded from <br /> Document Builder Generated Page 57 of 59 Version 0819 <br />