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DocuSign Envelope ID: A07C4620 -D9F0- 4228- 9B2F- lD499E5F8796 <br />ATTACHMENT H <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY <br />AND VOLUNTARY EXCLUSION -LOWER TIER COVERED TRANSACTIONS <br />Orange County Department of Social Services and Department on Aging <br />Instructions for Certification <br />1. By signing and submitting this proposal, the prospective lower tier participant is providing <br />the certification set out below. <br />2. The certification in this clause is a material representation of the fact upon which reliance <br />was placed when this transaction was entered into. If it is later determined that the prospective <br />lower tier participant knowingly rendered an erroneous certification, in addition to other <br />remedies available to the Federal Government, the department or agency with which this <br />transaction originated 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 <br />which the proposal is submitted if at any time the prospective lower tier participant learns that its <br />certification was erroneous when submitted or has become erroneous by reason of changed <br />circumstances. <br />4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered <br />transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and <br />"voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and <br />Coverage sections of rules implementing Executive Order 12549. You may contact the person to <br />which this proposal is submitted for assistance in obtaining a copy of those regulations. <br />5. The prospective lower tier participant agrees by submitting this proposal that, should the <br />proposed covered transaction be entered into, it shall not knowingly enter any lower tier covered <br />transaction with a person who is debarred, suspended, determined ineligible or voluntarily <br />excluded from participation in this covered transaction unless authorized by the department or <br />agency with which this transaction originated. <br />6. The prospective lower tier participant further agrees by submitting this proposal that it will <br />include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and <br />Voluntary Exclusion - Lower Tier Covered Transaction," without modification, in all lower tier <br />covered transactions and in all solicitations for lower tier covered transactions. <br />7. 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, ineligible, or <br />voluntarily excluded from covered transaction, unless it knows that the certification is erroneous. <br />A participant may decide the method and frequency of which it determines the eligibility of its <br />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 <br />records in order to render in good faith the certification required by this clause. The knowledge <br />and information of a participant is not required to exceed that which is normally possessed by a <br />prudent person in the ordinary course of business dealings. <br />Federal Certification - Debarment (06115) Page 1. of 2 <br />