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A501,lk 19 FIDE �Tl <br />INSTRUCTIONS FOR CERTIFICATION <br />• <br />• <br />• <br />B signing an d submitting this form, the prospective primary participant is providing the <br />certification set out on the reverse side in accordance with these instructions. <br />The inability of a person to provide the certification required below will not <br />necessarily result in denial of participation in this covered transaction. The <br />prospective participant shall submit an explanation of why it cannot provide the <br />certification set out on this form. The certification or explanation will be considered <br />in connection with the department or agency's determination whether to enter into thi_ <br />transaction. However, failure of the prospective primary participant to furnish a <br />certification or an explanation shall disqualify such person from participation in this <br />transaction. <br />3. The certification in this clause is a material representation of fact upon which reliance <br />was placed when the department or agency determined to enter into this transaction. If <br />it is later determined that the prospective primary participant knowingly rendered an <br />erroneous certification, in addition to other remedies available to the Federal <br />Government, the department or agency may terminate this transaction for cause or default. <br />4. The prospective primary participant shall provide immediate written notice to the <br />department or agency to whom this proposal is submitted if at any time the prospective <br />primary participant learns that its certification was erroneous when submitted or has <br />become erroneous by reason of changed circumstances. <br />5. The terms "covered transaction,' <br />^debarred," "suspended," -ineligible,- "lower tier <br />covered transaction," "participant," -person,- "primary covered transaction," <br />-principal,- "proposal," and -voluntarily excluded,' as used in this clause, have the <br />meanings set out in the Definitions and Coverage sections of the rules implementing <br />Executive Order 12549. You may contact the department or agency to which this proposal <br />is being submitted for assistance in obtaining a copy of those regulations. <br />6. The prospective primary participant agrees by submitting this form that, should the <br />proposed covered transaction be entered into, it shall not knowingly enter into any lower <br />tier covered transaction with a person who is debarred, suspended, declared ineligible, <br />or voluntarily excluded from participation in this covered transaction, unless authorized <br />by the department or agency entering into this transaction. <br />7. The prospective primary participant further agrees by submitting this form that it will <br />include the clause titled -certification Regarding Debarment, Suspension, Ineligibility <br />and Voluntary Exclusion - Lower Tier Covered Transactions," provided by the department or <br />agency entering into this covered transaction, without modification, in all lower tier <br />covered transactions and in all solicitations for lower tier covered transactions. <br />8. A participant in a covered transaction may rely upon a certification of a prospective <br />participant in a lower tier covered transaction that it is not debarred, suspended, <br />ineligible, or voluntarily excluded from the covered transaction, unless it knows that <br />the certification is erroneous. A participant may decide the method and frequency by <br />which it determines the eligibility of its principals. Each participant may, but is not <br />required to, check the Nonprocurement List. <br />9. Nothing contained in the foregoing shall be construed to require establishment of a <br />system of records in order to render in good faith the certification required by this <br />clause. The knowledge and information of a participant is not required to exceed that <br />which is normally possessed by a prudent person in the ordinary course of business <br />dealings. <br />10. Except for transactions authorized under paragraph 6 of these instructions, if a <br />participant in a covered transaction knowingly enters into a lower tier covered <br />transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded <br />from participation in this transaction, in addition to other remedies available to the <br />Federal Government, the department or agency may terminate this transaction for cause or <br />default. <br />'U.S. GPO: 1989 - 654 - 006 /81518 <br />i'orm AD- 1047(Automated 8 -97) <br />