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( 3 ) are not presently indicted for or otherwise criminally or civilly charged by a governmental entity <br /> ( Federal , State , or local ) with commission 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 application /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 /> all lower tier covered transactions ( i . e . , transactions with subgrantees 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 /> POP <br /> ( 1 ) The prospective lower tier participant certifies by submission of this proposal , that neither it <br /> nor its principals is presently debarred , suspended , proposed for debarment, declared <br /> ineligible , or voluntarily 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 /> Janice:T let; Departitmenf : Direcfor <br /> re°' of'Authvrize . . .If ; ii.n14 <br /> Official ,; ; Name : and ;Title of.Authorizetl C:er� ifyiing Official' <br /> Orange County Department -on Ago la 40 <br /> Subcontractor Name . Date - S°ubmitted <br /> Page 12 of 12 <br />