t ' '
<br /> of a Member of Congress in connection with the awarding of any federal contract, the making of
<br /> any federal grant, the making of any federal loan, the entering into of any cooperative agreement
<br /> and the extension, continuation, renewal, amendment, or modification of any federal contract,
<br /> grant, loan or cooperative agreement.
<br /> GovERrvMErvT,a� 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 officer or
<br /> employee of any federal agency, a Member of Congress, an officer or employee of Congress or an
<br /> employee of a Member of Congress in connection with this contract, grant, loan or cooperative
<br /> agreement, the GovERrvMErvTA� Bo�v 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 /> Th@ GOVERNMENTAL BODY 81S0 1g1'@@S that�'aOVERNMENTAL BODY Shall C@C�Ulfe thclt thE 11f1gUag2 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. GovERNMErvTa� Bo�v 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 Property. GOVERNMENTAL Bo�Y 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. GovERrvMErvT,a� Bo�Y certifies that to the best of its knowledge and belief,
<br /> GOVERNMENTAL BODY afld GOVERNMENTAL BODY's principals: a) are not presently debarred,
<br /> suspended, proposed for debarment, declared ineligible or voluntarily excluded from covered �i
<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
<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 GovERrvMErvTa,� Bo�Y to certify to the certification in this section will
<br /> not necessarily result in denial of participation in this Agreement. The prospective GovERtvMErvTa�
<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 d2t@CI'1'1111Gd whether to en#er into this transaction. If it is later determined that
<br /> GOVERNMENTAL BODY kllOWingly f211d@Y@d af1 BfCOt120US CeftlflCatl011, in addition to other remedies
<br /> available to the federal government, the DEPaRTMEtvT may terminate this Agreement for cause.
<br /> The GovERrvnnENTA�Bo�v shall provide immediate written notice to the DEP,aRTMErvT if at any time
<br /> the 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 /> Intergovernmental Agreement (Rev. 10/99) 4 Tomorrow FY 01-02
<br /> CPG-01-27
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