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Exhibit 'C' <br />FORM OF PROPOSAL <br />Page 4 of 13 <br />a~s«s <br />00131-4 <br />DEBARMENT AND SUSPENSION CERTIFICATION (LOWER TIER COVERED TRANSACTION) <br />(To be submitted wtth a bid o~ Offer exc~edi~g the small pur+ct~ase fhreshold fot~ Fedetai a~stanoe <br />ProDrems. oumentiY $100,000.) <br />The pro~dive iower tler Partic~Pant (Offero~ c~rHfies. bY submtssion of this Offer. that neit~ it rtor ffs <br />'pt~' as defu~ed at 49 C.F.R. § 29.105W) is P~Y ~~~ ~~~~ ProPosed fo~' debartneM. <br />deda~+ed ~le~ or volunta~ily excluded from partidpatlon in this Vansadion by amr Federel departmerrt <br />or aget~cy. ~ <br />If the p~+ospedive low~er tier partidpant (offeoo~ is unable to oerttfy to ttie statement above, ft shan attach <br />ao expianatb~. and indicate that it has done~so. bY P~~9 an x in the foilowing space . <br />THE BIOOER OR OFFEROR.. pPn~~P.l? ~. CERTIFIES OR AFFlRMS THE TRUTHFUWESS AND <br />ACdJRACY OF EACH STATEMENT OF ITS CERTIFlCATION AND EXPLANATION. IF AN1f. IN <br />AODITION~ THE BIDDER OR OFFEROR UNDERSTANDS AND AGREES 71~AT THE PROVlSIONS OF <br />st U.S.C 3801 ET SEQ. APPLY TO THIS CERTIFICATtON AND EXPLANATION, IF ANY. <br />Signature of the Bidder or OfFerors Authorize~~l <br />Terry Kelly, V. P. Nam~ gnd Tftlg Of the Bidder or Offerof'S AutftOriZed OffidBt <br />2 /4 /99 ~@ <br />WBBYING CERT(FlCATION <br />(i'o be ~ with a bid or Offer e~ing a100,000 ) <br />Trie Bidder or otferor c~rtities, to fhe best its knowiedge and beitef, thaL <br />1. No Federaf appropciated funds have been patd or will be patd by o~ on behalf of the <br />u~. tio anY Pe+so~ for influe~ng or attem~ to i~tuenoe an off'~ or employes <br />of a FederAl depa~rnent or ~r~ a Member of the U.S. Congt+ess. en ot~ver or emMoyee <br />of the U.s. t~, or an employee of a Member of tt~e u.s. Coogress in connec~ta~ withh <br />tne award'u~ or any Feaerai conaaa, tne makin8 of any Feaerel g~ant, the making of any <br />Federai loan, the e~rtedng hrto of a~y ooo~ ~reemerrt, and the extension. <br />oo~tinuation. renewal. ameadmerrt. or modification ther+eof. <br />2 -If a~y funds other tttan Federal appropriated fut~ds have been paid or wql be p~id to arty <br />Person for mak~g lobby~g oartads to an officer or emM~ ~~Y a9~~Y. a Member of <br />Co~g~+ess; an officer or employee of Congmss. or an employee of a Member of CongrBSs <br />in connedion with this Federal contract, grartt, loan~ or coopetaWe agt+eeme~rt. ttte <br />undec~ed shap oort~lete.and submtt Standard Fortn - LLI, `Discc:losune Form to Report <br />Lobbying' in aoooidance wffh its InsUuction, as ame~ded by'Govemment Wide Guidance <br />for New Rest~ic~ions on Lobbying; 61 Fed. Reg. .1418 (1/19r86} ~ <br />3. The unde~igned shap requine that the lan~guage of thEs certlficatfon be induded M the awarcJ <br />documents for all subawarcts at all tiers (indudi~g subco~racts. sub8t~rrts, and oontreds <br />under grants. bans, and oooperative ag~eemertts) and that all subc+ecipie~rts shall ce~tify and <br />disGose acoor+di~giy. This certification is a mate~ial~rep~serrtatlon of fact upon wh(ch <br />~ reliance was piaced when this transadton was made or eMe~d IMo. Submtssion of this <br />certification shalt be subject to a civii penatty of not less than 510.000 and ~ot mone than <br />5100.000 for each such failure. ~ <br />;; <br />~~ : ~ <br />~.."'~.~r, .~^=. <br />~ <br />