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HtlLC 00131-4 DEBARMENT AND SUSPENSION CERTIFICATION (LOWER TIER COVERED TRANSACTION) (To be submitted wtth a bid or Offer exceeding the small purchase threshold for Federal assistance programs, cumenUy $100,000.) The prospeciive lower Uer parUdpant (Offero~ certifies, by submission of this Otfer, that nekher ft nor Its '(xindpais' as defined at 49 C.F.R. § 29.105(p) is presently debarced, suspended, proposed for debarmerrt, deda~ed Inefigible, or volurrtarily exduded from partlGpaUon In this lransaction by any Federat department or egenay. If the prospective lower Qer partldpant (Offero~j Is unable to certify to the statement above, ft shall attach an explanation, and Indicate that it has done so, by pladng an `X' In the following space . THE BIDDER OR OFFEROR, PPT~CP IKP~ ~ V ~ CERTIFIES OR AFFIRMS THE TRUTHFULNESS AND ACCURACY OF EACH STATEMENT OF ITS CERTIFICATiON AND EXPLANATION, IF ANY. IN ADDITION, THE BIDDER OR OFFEROR UNDERSTANDS AND AGREES THAT THE PROVISIONS OF 31 U.S.C § 3801 ET SEQ. APPLY TO THIS CERTIFICATION AND EXPIANATION, IF ANY. ~ Signature of the Bidder or Offeror's Authoriz~Official Terry xelly , v. P. Name and Tdle of the Bidder or Offeror's Authorized Official ~ i4 ~99 Date LOBBYING CERTIFICA710N (TO be submitted wilh a bid or Offer exceeding $100,000.) The Bidder or Offeror certifies, to the 6est Its knowiedge and belief, that: No Federal appropriated funds have been pald or will be paid by or on behalf of the undersigned, to arry person for ir~luenang or attempting to influence an officer or employee of a Federal department or egency, a Member of the U.S. Congress, an officer or employee of the U.S. Congrnss, or an employee of a Member of the U.S. Congress in conneclion with the ewarding of any Federal contract, the making of any Federal grant, the makfng of any Federal loan, the ernering into of any cooperalive agreemeM, and the extension, continuation, renewal, amendment, or modiflcaUon thereof. 2. -If any funds other than Federal eppropriated funds have been paid or will be p~id to any person for making bbbying corttacts to an officer or employee of any egency, e Member of Congre.ss, an otticer or employee of Congmss, or an employee af e Member of Congress In connaction with this Federal coMract, graM, loan, or cooperative egreement, the undersigned shail complete and submH Standerd Fortn - LLL, `Disdosure Form to Repo~t L.obbyirig; In aooorcfance wfth its InstrucUon, as amended by'Govemmem Wide Gutdance for New Restrictions on Lobbying ' 61 Fed. Reg. 1473 (1/18/96) ~ 3. The underslgned shatl require that the languape of this certification be InGuded in the award documerris for all subawarcJs at all Uers pnduding subc:ontracts, subgrarrts, and contracts underprarrts, loans, and cooperative eg~eemeMs) end that ell subrecipierris shall ce~ify and disGose acxorclingly. Thls certification is a materiaf representation of fact upon which rellance was placed when thls transacxion was made or eMered imo. Submission of this certfficaUon shall be subJect to a clvil penalty of not less than 510,000 and not more than $100,000 for each such feilure.