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Certification Regarding Debarment, Suspension, <br />and Other Responsibility Matters <br />Primary Covered Transactions <br />1) The prospective primary participant certifies to the best of its knowledge and <br />belief, that it and its principals: <br />a) Are not presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from covered transactions <br />by any Federal department or agency; <br />b) Have not within athree-year period preceding this proposal been <br />convicted of or had a civil judgment rendered against them for <br />commission of fraud or a criminal offense in connection with <br />obtaining, attempting to obtain, or performing a public (Federal, State, <br />or local) transaction or contract under a public transaction; violation of <br />Federal or State antitrust statutes or commission of embezzlement, <br />theft, forgery, bribery, falsification or destruction of records, making <br />false statements, or receiving stolen property; <br />c) Are not presently indicted for or otherwise criminally or civilly <br />charged by a governmental entity (Federal, State, or local) with <br />commission of any of the offenses enumerated in paragraph 1)b) of <br />this certification; and <br />d) Have not within a three year period preceding this application/proposal <br />had one or more public transactions (Federal, State, or local) <br />terminated for cause or default. <br />2) Where the prospective primary participant is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an <br />explanation to this proposal. <br />Stephen L. Hollister, City Manager <br />