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' -~ Exhibit'C' FORM OFPROPOSAL ~ Page 4 of 13 au~u 00131-4 OEBARMENT AND SUSPENSION CERTIFtCAT10N (LOWER TIER COVERE~ TFiANSACTION) (To be submitted with a bid or Offer e~a~eeding the small pu~+chase tlu~shold for Fedetei ~anoe ;: ProBrems. ~'~Y 5100.000.) `'~ The prospedive louret tier partldpant (O(fe~+ot~ ce~ttfies. bY s~lbmtssion of this Otfer, that ~either it nor Ns 'p~Cipal~ as defined at 49 C.FR § 29.105(p) is preseMly debamed. s~pended, PnoPosed fa' debartnettt, dedared inefi~ible. or votuntarify exduded from paNdpatlon in this Vansaction by arry Federei departmerrt or age~cy. ~ If the pnaspective lower tier pa~tldpaot (of~ero~ is unable to oertNy to the statemetrt above. it shall attach an explanation. and fndicate tttat it has done~so. bY P~~B ~ x in fhe following space . THE BIDDER OR OFFEROR~. p n~~KP> > ~. CERTIFlES OR AFFlRMS TI~iE TRU7NFULNESS AND ACCURAC1f OF EACH STATEMENT OF RS CERTIFlCATION AND EXPWNATION. IF ANY. IN ADDRION, THE BIDDER OR OFFEROR UNDERSTANOS AND AGREES THAT THE PROVISIONS OF s1 U.S.C s801 ET SEQ. APPLY TO THIS CERTIFlCATION ANO EXPIANATiON, IF ANY. . Signature of the Bidder or OPferor"s Authorizec~Offidal . :;' Terry Ke lly , V. P. ~e a~d T~e of the Bidder or Of~ero~'s Autho~ized Official ? ~4 ~99 ~ Date LOBBYING CERTIFlCATION (To be subcnitted wfth a bid or Offer eaoc~eding 5100,000 ) The Bidder or OPfetrn oertifies. to the best Ms knowtedge and bepef. tha~ 1. No Federal appnop~iated funds have bee~ pald or w(II be patd by or on behalf of the unde~ipned~ to any pe~~on f~a' infiue~cit~ orattempGng to influenoe an offioer or employee of a Fede~l dep~trr~t or a~wy. a Membe~' of tlte U.B. Congt+ess. an ot~'wer or employ~ee of 1he U.S. Con~ess, a' ~ ert~byree of a Mecnba' of the U.S. Congress in oonnedlon with the awa~ding of any Federal ~ct. the ma~dnA ~~Y ~~ 9~.~ tl~ex~tension. Federel loan. tlie entering tnto of ar~y ooope~aUve ~eme~rt. continttatlon. ~+enevrrai, atne~ldmecrt. or modification tttet+eof. 2 -If any funds other than Federat approp~tated funds have bee~ paid or will be patd to arty Person fa' makk~g lobby~ contads to eo of'f'ioer or employee of anY a9e~cY. a Member of Co~g~+ess.•an otncer or employee of Cong~+ess. or an employ~ee of a Member of Cong~+ess in ooooedion with this Federai co~rad. 9ra~. loan. or a~operati~re a9t+eement. ttte u~ed shap oomplete.and submtt Standard Fortn - W.~ 'Discaosut+e Fortn to Report L~obbyfn8: in aooordanoe wfth its fnstrudton~ as amended by'Govemmerrt Wide Guidatx:e fOr New Restrictiotts on tAbbying; 61 Fed. Re8.1418 (1H 9/'86) ~ 3. The ~ shap ~eqW~+e that the language of tlds oertification be 1~duded I~ the awarcf documents for all subawat+ds at ali tters (induding subc~ntrads, subgrants. and aontreds under gt~tts. loans, and oooperativ~e agteemertts) and that all subrec;ipients shaii cettify and disclose aoc:ondingly. This certification ts a mate~iai~t~ept+eserttation of fact upon which ~ reliance was ptaced Nfien this transadion was made or eMe~+ed i~o. Submission of this certificatlon shaq be subject to a civit penaity of ~ot less than 510.000 and not more than 3100,000 for each such fatlure. .;.:~..~c;;~;.,: - ~,,.~.,.~ .