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, .~ Exhibit'C' FORM OF PROPOSAL ~` Page 4 of 13 ~r~` _ t~u[ts 00131-4 DEBARMENT AND SUSPENSION CER7IFICATION (LOWER'17ER COVERE~ TR~NSACTION) (To be submttted wtth a bid or Offer exoeedtn9 the small pu~+chase th~+eshold for Federal as~tanoe ~;; pro9rems. c~~rentlY ~100~000 ) The pnaspective lower tter partk~pant (Otfet+o~1 ~f es. bY submisston of tl~is Offer. that netther it nor ~s -p~,ci~ as def-a~ea at•49 cF.R. § 2s.~ os(p~ is pc+esenay aebamed. susper~aea. rx+nt~ed fo~ debartneM. dedared ine~igible~ or volu~tartly exduded from particNpaHHon tn thts Vensaction bY anY F~1 depa~tmerrt or agency. If the pnospec~ve low~er tiec partidpartt {Otfer+o~ is unable to oertlty to the stetemeM above, it sha4 attach an explanatlon. and indicate that it has dooe~so. bY P~ecin9 an ~C in the foUawing spatce . THE BIDDER OR OFFEROR~..PPncP~~~ .~TiF1ES OR AFFlRMS THE TRUTHFULNESS ANO ACCURACY OF EACH STATEMENT OF IT5 CERTIFlCATION ANO EXPt~WA770N. tF AN1f. lN qpp1110N~ THE BIDDER OR OFFEROR UNOERSTANDS AND AGREES THAT THE PROVISIONS OF s1 U.S.C s801 ET SE4 APPLY TO THIS CER77FlCATlON ANO EXPLANA'174N. IF ANY. . Signature of ttte Bidder or Offero~s p-udhotizec~Official . '#' ~ Terry Relly , V. P. ~~ a~ '~(g Of fhe 6iddet' Ot' Offe(~Of'S AuthOtiZed OffK~el ~ 2 ~4 ~99 Date l.pBBYING CERTIFlCATION Rc ee ~ea ww, a~ o~ oe~ece~ng a,oo.ooo ~ The Bidder or Offeror certiftes, to fhe best its knoNried9e and betief. tha~ ~~~:c :fk~'ca , 1. No Federai app~op~iated tw~ds have beec~ paid or wtli be patd bY o~ on behalf of the ~. ~~Y P~~ ~' ~°r ~~ tp influetroe an offioer or employee of a Fede~l depa~trt~et~t or agency~ a Memba' of the U.S. Congress. an ot~ioe~' or employ~ee of the U.S. Co~es~ or' ~ ett~~loy~e of a Mert~ of ttte U.S. Congt+ess in oonnection wlth tne aw~d'u~g of any Feaeral contract. tne maano of any Feaera~ ~. the maktno of any Federai loan. 1he e~te~in9 k~to of any ooope~athre ~t+eeme~t. and tl~e exter~lon. continuation~ t+eneN-al, 8mendmecrt. or modific~tlon ttte~of. 2 -If any funds oUter thacl Federal appropristed fut~ds have beect paid or' wW be p~id to a~y Persa~ ~or rt~t~ iot~t~yi~ oo~tads to an offioer or employee of anY e9enc~-, a Member of ConB~ess; an office~ or employee of Cong~+ess. a' an empioree of a Member of Cong~+ess in connec~ion with this Federai co~trad 9rarrt. loan, or oooperative a9t+eeme~t. ttte u~d~gned shap oom~te.a~d submit Standarti Form - W., `Discaosure Fonm to Report tAbbyfng: h aooondanoe wffh ds in~on, as amended by'Govemm~e.nt Wide Guida~ce for NewResGidlons on Lobbying: 61 Fed. Reg..1415 (1/19/96) ~ 3. ' The undersigned sttaq t~eqt~oe fhatthe lan~uage of tl~fs certificatioo be induded f~ the awatd_ documerrts for ail subawatds at all tiets (indudi~g subcontrads. sub9rents~ and oo~ads under g~nfs. loans, and ooope~ative a9~) and tlrat all subrec~pieMs shall oertifY and • disclase acooMi~gly. Thts certificatton is a materiai'represerttation of fact upon vvh(ch ~ ~ oeliance was placed when this transadton was made or eMer+ed htto. Submission of th(s certlfication shaQ be subjec~ to a civti penatty of not less than 510.000 and not more than a100,000 for each such failu~e. .