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(3) are not presently indicted for or otherwise cdminally olr civilly charged by a governmental entity <br />(Federal, State, or local) with comnnissllon of any of the offenses enumerated in paragraph (a)(2) <br />of this certification; and <br />(4) have not within a 3-year period preceding this app[ication/proposal had one or more public <br />transactions (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 <br />placed under 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 <br />following clause titled "Certification Regarding Debarment, Suspension, Ineligibility, and <br />Voluntary Exclusion -- Lower Tier Covered Transaction" (Appendix B to 45 CFR Part 76) in <br />alll lover tier covered transactions, (i,e., transactions with subgraintees and/or contractors) and in <br />all solicitations, for lower tier covered transactions; <br />Certification Regarding Debarment, Suspension, Ineligibility,, and Voluntary Exclusion -- <br />Lower Tier Covered Transactions <br />(1), The prospective lower tier participant'certifies by submission of this proposal, that neither it <br />nor its principal's is presently debarred, suspended, proposed for debarment, declared <br />ineligible, or vollluntarily excluded from participation in this transaction by any Federal <br />department or agency. <br />(2) Where the prospective lower tier participant is unable to certify to any of the statements in <br />this certification!, such prospective participant shall attach an explanation to this proposal. <br />j6d ice Tyler�i Director: <br />Aythiori*'Cl6 Off! i I� N64te � and Title of, Auth <br />a 6 ed C rti ingOffic al <br />riz , 0 <br />brana6 d6Unty,Qtp.grLme.!2j..6 1 Aging <br />Subcontractor'Narne Date Submitted <br />Page 1 2 of 12 <br />