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<br />' GovERrvMErvTa,� Bo�Y further certifies that if any funds other than federal appropriated funds have
<br /> been paid or will be paid to any person for influencing or attempting to influence an o�cer or
<br /> employee of any federal agency, a Member of Congress, an officer or employee of Congress or
<br /> an employee of a Member of Congress in connection with this contract, grant, loan or cooperative
<br /> agreement, the GovERrvMENTa� Bo�Y shall complete and submit Standard Form-LLL, "Disclosure
<br /> Form to Report Lobbying," in accordance with its instructions.
<br />� This certification is a material representation of fact upon which reliance was placed when this
<br /> transaction was made or entered into. Submission of this certification is a prerequisite to making
<br /> or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who
<br /> fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and
<br /> not more than $100,000 for each such failure.
<br /> The GOVERNMENTAL BODY aISO agreeS that GOVERNMENTAL BODY Shall reqUire that the IangUage Of
<br /> this certification will be included in all lower tier subcontracts and that all subcontractors, will certify
<br /> and disclose accordingly.
<br /> B. Civil Rights. GovERrvMErvTA� Bo�Y shall comply with the Civil Rights Act of 1964, as
<br /> amended, and Title 49, Code of Federal Regulations, part 21.
<br /> C. Control Of PI'Op@I'ty. GOVERNMENTAL BooY certifies that the control, utilization and
<br /> disposition of property or equipment acquired using federal funds is maintained according to the
<br /> provisions of A-102 Common Rule.
<br /> D. Cost Principles. The cost principles of this Agreement are governed by the cost
<br /> principles found in Title 48, Code of Federal Regulations, subpart 31; and all costs included in this
<br /> Agreement are allowable under Title 48, Code of Federal Regulations, part 31.
<br /> E. Debarment. GovERrvnnErvTa� BooY certifies that to the best of its knowledge and belief,
<br /> GOVERNMENTAL BODY aCld GOVERNMENTAL BODY's principals: a) are not presently debarred,
<br /> suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered ',
<br /> transactions by any federal department or agency; b) within a three-year period preceding this !�
<br /> Agreement have not been convicted of or had a civil judgment rendered against it for commission i
<br /> of fraud or a criminal offense in connection with obtaining, attempting to obtain or performing a
<br /> public (federal, state or local)transaction or contract under a public transaction, violation of federal
<br /> or state anti-trust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
<br /> destruction of records, making false statements or receiving stolen property; c) are not presently
<br /> indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state or
<br /> local) with commission of any of the offenses enumerated in paragraph 5-40(b); d) have not
<br /> within a three-year period preceding this Agreement had one or more public transactions (federal,
<br /> state or local)terminated for cause or default.
<br /> The inability of a prospective GOVERNMENTAL BODY to certify to the certification in this section will
<br /> not necessarily result in denial of participation in this Agreement. The prospective GovERrvMErvrA�
<br /> Bo�Y shall submit an explanation of why it cannot provide the certification in this section. This
<br /> certification is a material representation of fact upon which reliance was placed when the
<br /> DEPARTMENT C1et@PfTllfled whether to enter into this transaction. If it is later determined that
<br /> GOVERNMENTAL BODY kflOWlllgly 1'2flde�2d afl 2ffOfteOUS C@PtIflCetl011, in addition to other remedies
<br /> available to the federal government, the DEPaRrnnErvT may terminate this Agreement for cause.
<br /> The GovERrvMEtvTa� Bo�Y shall provide immediate written notice to the DEPARrnnErvT if at any time
<br /> th2 GOVERNMENTAL BODY learns that its certification was erroneous when submitted or has
<br /> become erroneous by reason of changed circumstances. The terms "covered transaction,"
<br /> "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person,"
<br /> "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this
<br /> Part shall have the meaning set out in the Definitions and Coverage sections of the rules
<br /> implementing Executive Order 12549.
<br /> Intergovernmental Agreement(Rev. 10/99) 4 Decatur FTA-03
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