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DocuSign Envelope ID.526B70E3-96E2-4B7D-8028-A3475A4F7A1E <br /> (3)are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, <br /> State, or local) with commission of any of the offenses enumerated in paragraph (a)(2)of this certification; and <br /> (4) have not within a 3-year period preceding this application/proposal had one or more public transactions <br /> (Federal, State, or local)terminated for cause or default. <br /> Should the applicant not be able to provide this certification, an explanation as to why should be placed under <br /> the assurances page in the application package. <br /> (b) Lower Tier Covered Transactions <br /> The applicant agrees by submitting this proposal that it will include, without modification, the following clause titled <br /> "Certification Regarding Debarment, Suspension, Ineligibility,and Voluntary Exclusion -- Lower Tier <br /> Covered Transaction"(Appendix B to 45 CFR Part 76) in all lower tier covered transactions(i.e., transactions with <br /> subrecipients and/or contractors)and in all solicitations for lower tier covered transactions: <br /> Certification Regarding Debarment,Suspension, Ineligibility,and Voluntary Exclusion -- Lower Tier <br /> Covered Transactions <br /> (1)The prospective lower tier participant certifies by submission of this proposal, that neither it nor its <br /> principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily <br /> excluded from participation in this transaction by any Federal department or agency. <br /> (2) Where the prospective lower tier participant is unable to certify to any of the statements in this <br /> certification, such prospective participant shall attach an explanation to this proposal. <br /> Sign to e of thori Certifying Official Title <br /> muC f c rc c c e <br /> ubrecipient Name Date Submitted <br /> Page 15 of 15 <br />