Laserfiche WebLink
� " <br /> EXHIBIT C <br /> CERTIFICATION OF PRIMARY PARTICIPANT REGARDING <br /> DEBARMENT, SUSPENSION AND OTHER RESPONSIBILITY MATTERS <br /> The Primary Participant(applicant for an FTA grant or cooperative agreement, or potential <br /> contractor for a major third party contract), PRIDE MIDWEST SERVICES, INC., an Illinois <br /> Corporation, certifies to the best of its knowledge and belief that it and its principals: <br /> 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or <br /> voluntarily excluded from covered transactions by any Federal deparhnent 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 connection <br /> with obtaining, attempting to obtain, or performing a public (Federal, State or local) <br /> transaction or contract under a public transaction; violation of Federal or State antitrust <br /> statutes of commission of embezzlement, theft, forgery,bribery, falsification or destruction <br /> 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 (2) of this certification; and <br /> 4. Have not within a three year period preceding this application/proposal had one or more <br /> public transactions (Federal, State or local)terminated for cause or default. <br /> (If the Primary Participant(applicant for an FTA grant or cooperative agreement, or potential <br /> contractor for a major third party contract) is unable to certify to any of the statements in this <br /> certification, the participant shall attach an explanation to this certification.) <br /> The Primary Participant(applicant for an FTA grant or cooperative agreement, or potential <br /> contractor for a major third party contract), PRIDE MIDWEST SERVICES, INC., certifies or <br /> affirms the tf-uthfulness and accuracy of the contents of the statements submitted on or with this <br /> certification and understands that the provisions of 31 U.S.C. Sections 3801 et seq• are <br /> applicable thereto. <br /> EXECUTED this C-� day of---���i���,� , 2000. <br /> PRIDE MIDWEST SERVICES, INC., <br /> an Illinois Corporation <br /> By "� , <br /> Shirl tonacci, President <br /> . - 8 - <br />