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Contract Number 00027858 / Page 28 of 33
<br />IV„ Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier
<br />Covered Transactions
<br />Instructions
<br />[The phrase "prospective lower tier participant" means the Provider.]
<br />1. By signing and submitting this document, the prospective lower tier participant is providing the certification set out
<br />below..
<br />2 The certification in this clause is a material representation of the fact upon which reliance was placed when this
<br />transaction was entered into If it is later determined that the prospective lower tier participant knowingly rendered an
<br />erroneous certification, in addition to other remedies available to the Federal Government, the department or agency
<br />with which this transaction originate may pursue available remedies, including suspension and /or debarment.
<br />3 The prospective lower tier participant will provide immediate written notice to the person to whom this proposal is
<br />submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted
<br />or has become erroneous by reason of changed circumstances.
<br />4 The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant,"
<br />"person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have
<br />the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549, 45 CFR
<br />Part 76. You may contact the person to whom this proposal is submitted for assistance in obtaining a copy of those
<br />regulations.
<br />The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
<br />transaction be entered into, it shall not knowingly enter any lower tier covered transaction with a person who is
<br />debarred, suspended, determined ineligible or voluntarily excluded from participation in this covered transaction
<br />unless authorized by the department or agency with which this transaction originated.
<br />6. The prospective lower tier participant further agrees by submitting this document that it will include the clause titled
<br />"Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion- -Lower Tier Covered
<br />Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered
<br />transactions
<br />7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered
<br />transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from covered transaction, unless it
<br />knows that the certification is erroneous. A participant may decide the method and frequency by which it determines
<br />the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List
<br />8 Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
<br />render in good faith the certification required by this clause The knowledge and information of a participant is not
<br />required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
<br />Except for transactions authorized in paragraph 5 of these instructions, if a participant in a covered transaction
<br />knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or
<br />voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal
<br />Government, the department or agency with which this transaction originated may pursue available remedies,
<br />including suspension, and /or debarment
<br />Certification
<br />1 The prospective lower tier participant certifies, by submission of this document, that neither it nor its principals is
<br />presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation
<br />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 certification, such
<br />prospective participant shall attach an explanation to this proposal,
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