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9828 <br />00731-4 <br />DEBARMENT AND SUSPENSION CERTIFICATION (LOWER TIER COVERED TRANSACTION) <br />(To be submilted wilh a bid or Offer exceeding the small purchase threshold for Federal assistance <br />programs, currently $100,000.) <br />The prospective lower tier participant (Offeror) certifies, by submission of this Offer, that neither il nor its <br />"principats" as defined at 49 C.F.R. § 29.105(p) is presenlly debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from pariicipation in this transaction by any Federal depariment <br />or agency. <br />If the prospedive lower tier participant (Offeror) is unable to certify to the statement above, il shall atlach <br />an explanalion, and indicale that it has done so, by placing an °X" in the following space <br />Marion Construction Company <br />THE BIDDER OR OFFEROR, , CERTIFIES-OR AFFIRMS THE TRUTHFULNESS AND <br />ACCURACY OF EACH STATEMENT OF ITS CERTIFICATION AND EXPLANATION, IF ANY. IN <br />ADDITION, THE BIDDER OR OFFEROR UNDERSTANDS AND AGREES THAT THE PROVISIONS OF <br />31 U.S.C §§ 3801 ET SEQ. APPLY TO THIS CERTIFICATION AND EXPLANATION, IF ANY. <br />Signature of the Bidder or Offerors Authorized Official <br />Roger D. Peterson, Pres . Name and Tille of the Bidder or Offerors Authorized O~cial <br />February 4, 1999 Date <br />LOBBYING CERTIFICATION <br />(fo be submitted with a bid or Offer exceeding $100,000.) <br />The Bidder or Offeror certifies, to the best its knowledge and belief, lhat: <br />No Federal appropriated funds have been paid or will be paid by or on behalf of the <br />undersigned, to any person for influencing or attempting to inFluence an o~cer or employee <br />of a Federal department or agency, a Member of the U.S. Congress, an officer or employee <br />of the U.S. Congress, or an employee of a Member of the U.S. Congress in connection with <br />the awarding o( any Federal contract, the making of any Federal grant, the making of any <br />Federal loan, the entering into of any cooperative agreement, and the extension, <br />continuation, renewal, amendment, or modificalion thereof. <br />2. If any funds other than Federal appropriated funds have been paid or wili be paid to any <br />person for making lobbying contacts to an officer or employee of any agency, a Member of <br />Congress, an officer or employee of Congress, or an employee of a Member of Congress <br />in connection with this Federal contracl, grant, loan, or cooperative agreement, the <br />undersigned shall complete and submit Slandard Form - LLL, 'Disclosure Fortn to Report <br />Lobbying; in accordance with ils instruction, as amended by "Govemmenl Wide Guidance <br />for New Restrictions on Lobbying,' 61 Fed. Reg. 1413 (1/19/96) <br />3. The undersigned shall require lhat the language of this certification be included in the award <br />documents for all subawattls at all tiers (including subcontracls, subgrants, and contracts <br />under grants, loans, and cooperative agreements) and thal all subrecipients shali certify and <br />disclose accordingly. This certification is a material representation of fact upon which <br />reliance was placed when this transaction was made or entered into. Submission of this <br />certification shall be subjecl to a civil penalty of not less than $10,000 and not more than <br />$100,000 for each such failure. <br />