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8828
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<br />DEBARMENT AND SUSPENSION CERTIFICATION (LOWER TIER COVERED TRANSACTION)
<br />(To be submilted with a bid or Offer exceeding the small purchase threshold for Federal assislance
<br />programs, currently $100,000.)
<br />The prospective lower tier participant (Offeror) certifies, by submission of this Offer, that neither it nor its
<br />"principals' as defined at 49 C.F.R. § 29.105(p) is presenlly debarted, suspended, proposed for debartnent,
<br />declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department
<br />or agency.
<br />If the prospective lower tier participant (Offeror) is unable to certiry to the statement above, it shall attach
<br />an explanation, and indfcate that it has done so, by placing an °X" in the following space .
<br />Drake Construction Company Inc.
<br />THE BIDDER OR OFFEROR, / , CERTIFIES GR 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 />~~ ~~- f--~ignature of the Bidder or Offeror's Authorized Official
<br />DAVID L. BRENNEMAN
<br />FttFrnmTV~ vTr~ nn~~ Name and TiUe ofthe Bidderor Offero~sAuthorized O~cial
<br />FEBRUARY 4 F 7 999 Date
<br />LOBBYING CERTIFICATION
<br />(fo be submitted with a bid or Offer exceeding $100,000.)
<br />The Bidder or Offeror certifies, to fhe best its knowtedge and belief, that:
<br />No Federal appropriated funds have been paid or wlll be paid by or on behalf of the
<br />undersigned, to any person for influencing or attempting to influence an officer or employee
<br />of a Federal department or agency, a Member of the U.S. Congress, an o~cer or employee
<br />ofthe U.S. Congress, oran employee of a Member of the U.S. Congress in connection with
<br />the awarding of any Federal contract, the making of any Federal grant, the making of any
<br />Federal loan, the entering into of any cooperatfve agreement, and the extension,
<br />continuation, renewal, amendment, or modification thereof.
<br />2. If any funds otherthan Federal appropriated funds have been paid orwill be paid to any
<br />person for making lobbying conlads to an officer or employee of any agency, a Member of
<br />Congress, an o~cer or employee of Congress, or an employee of a Member of Congress
<br />in connection wilh this Federal contract, grant, loan, or cooperative agreement, the
<br />undersigned shall complete and submit Standarcl Fortn - LLL, °Disclosure Form to Reporl
<br />Lobbying,' in accordance with ils instruction, as amended by °Govemment Wide Guidance
<br />for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96)
<br />3. The undersigned shall require that the language of this cerlificalion be included in the award
<br />documents for all subawards at all tlers (fncluding subcontracts, subgrants, and contracts
<br />under grants, loans, and cooperative agreements) and that all subrecipients shall certify and
<br />disclose accordingly. This certification is a material representation of fact upon which
<br />reliance was placed when this transaclion was made or entered inlo. Submission of this
<br />certification shall be subject to a civil penalty of not less than $10,000 and not more than
<br />$100,000 for each such failure.
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