Orange County NC Website
_ <br /> ' . <br /> ATTACHMENT � <br /> - <br /> ASSURANCES - NON CONSTRUCTION PROGRAMS <br /> - <br /> The CONTRACTOR certifies that with regard to: <br /> 1 DEBARMENT AND SUSPENSION ' To the best of its knowledge and belief that it and its <br /> principals: <br /> (o) are not presently debarred, suspended, proposed for debarment, declared ineligible, or <br /> voluntarily excluded from covered transactions by any Federal Department or agency; <br /> (b) have not within a 3-year period preceding this proposal been convicted of or had o ckdi <br /> judgment rendered against them for commission of fraud or a criminal offense in <br /> connection with obtaining, attempting toobtain, or performing a public (Federal, State, or <br /> |oon|) transaction or contract under o public transaction; violation of Federal or State <br /> antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or <br /> destruction of records, making false statements, or receiving stolen property; <br /> (c) are not presently indicted for or otherwise chrnina|k/ or civilly charged by a governmental <br /> entity (Federal, State, or local) with commission of any of the offenses enumerated in <br /> paragraph (1) (b) of this certification; and <br /> (d) have not within a 3-year period preceding this' application/proposal had one or more public <br /> transactions (Federal, State, or local) terminated for cause of default. <br /> 2. LOBBYING - To the best of his or her knowledge and belief, that: <br /> (a) no Federal appropriated funds have been paid or will be paid, by or on behalf of the <br /> undersigned, to any person for inf|uencingpr attempting to influence an officer or employee <br /> of any agency, a Member of Congress, an officer or employ of Congress, or an employee <br /> of a Member of Congress in connection with the awarding of any Federal contract, the <br /> making of any Federal grant, the making of any Federal loan, the entering into of any <br /> cooperative agreement, and the extension, continuation, renewal, amendment, or <br /> modification of any Federal contract, grant, loan, or cooperative agreement; <br /> (b) if any funds other than Federal appropriated funds have been paid or will be paid to any <br /> person for influencing or attempting to influence an officer or employee of any agency, a <br /> Member of Congress, an officer or mrnpioVme of Congress, or an employee of a Member of <br /> Congress in connection with the Federal contract, grant, loan, or cooperative agreement, <br /> the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report <br /> Lobbying" in accordance with its instructions. <br /> — � of 2 -- _ <br /> _ <br />