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. • <br /> ARTICLE 25—CERTIFICATION REGARDING DEBARMENT, SUSPENSION,AND OTHER <br /> RESPONSIBILITY MATTERS <br /> Engineer certifies to the best of its knowledge and belief that it and its principals: <br /> (1) Are not presently tlebarred, suspended, proposed for debarment, declared ineligible, or <br /> voluntarily excluded from covered transactions by any Federal department or agency; <br /> (2) Have not within a three year period preceding this proposal been convicted of or had a civil <br /> judgment rendered against them for commission of fraud or a criminal offense in <br /> connection with obtaining, attempting to obtain, or performing a public (Federal, State, or <br /> local) transaction or contract under a public transaction; violation of Federal or State <br /> antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or <br /> destruction of records, making false statements, or receiving stolen property; <br /> (3) Are not presently indicted for or otherwise criminally or civilly charged by a government <br /> entity (Federal, State, or local) with commission of any of the offenses enumerated in <br /> paragraph (1)of this certification; and <br /> (4) Have not within a three-year period preceding this applicationlproposal had one or more <br /> public transactions (Federal, State, or local) terminated for cause or default. <br /> I understand that a false statement on this certification may be grounds for rejection of this <br /> proposal or termination of the award. In addition, under 18 USC Sec. 1001 a false statement may <br /> result in a fine of up to$10,000 or imprisonment for up to 5 years, or both. <br /> �nS�G't- v�, !%�.1��'t�r-�f a�►��rZ. �l+c� �2�5��� <br /> Name&Title of Authorized Represent tive <br /> ' ��l�l,.. �-�-� � <br /> Signature of Authorized Representative Date <br /> slw Decatur Disk/Decatur Miend.No.3 <br /> February 7,2001 <br /> Amendment 3-3 <br />