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' � ' ' ' "Exhibit D" � <br /> ' � ATTA��TT A <br />� �'IFICATIdN OF PRU�RY PAFa'IQPANT <br /> RDGA.RDIJJG �Fd�TI' SC1SPf315IQd. At�'D Orl��t RESPOT�SIBILTI'Y 1�TI'F�tS <br /> I �he Pr3mazy Particigar�t (applicant for an III�II'A giant or vooperative <br /> .agi�eesne�r�t, or potentinl ooa�tractor far a �ajor third party aoa�tract). <br /> aertifies to the best of its lax�wledge tsnd belief, that it ar�d <br /> its principals: <br /> l. Are nat presestt.ly debarred, suspended� Pra�oF.ed for debai��t, <br /> decla.red ineligible, or wltimtarily e�ocluded fr� owered <br /> transactions by ariy Federal depa�ctme.nt or age.r�cy; <br /> 2. Iiave n�t. within a thre�aar P�i� P�nJ �� Pz'�PO6� � <br /> oc�ivicted of or had a civil judc�er�t re�ciered aga.in.st th� for <br /> oa�ni.ssic� of fraud or a crimis�al offense in�oo¢znect.ictt� with � <br /> �?�a i ni r7� g�j,� tp �jn� OZ' �2�OTm].]'IC� a �11C (F�dP.�T'dl� <br /> State or local) tran4actiae� or ooa�tract wx3er a public transaction; <br /> violatian of Fedesal or State erititn�st statut�s ar ooaanissian of <br /> enb�ezzle�nt, theft, forgery, bribery, falsificatioc� or destnictica� <br /> of Y�evords, making false stat��ts, or reoeivin3 stolen property; <br /> 3. Are nat preser�tly ln�dicted fo�r ar o�t?�eiwise criminally o� civilly <br /> c3�arged�by a gwexrm�ental �t.ity (F�.ral, state, or local) With <br /> oc�nissiaa� of any of the offenses ernII�rated in paragraph (2) of this <br /> oertificatian; eund <br /> d. Have no�t �aithin a three�year period pme�oeding this • <br /> applicatioa�/prv�os�l r�aa ane a� more public transactica�s (Federal, <br /> State or local) t�*minatsd for cause or default. <br /> (If the primaYy participar�t (applicant for an 18� grant, or 000peiative � <br /> aqr�ee�nent, or po�te.ntial third party vontractor) is tu�able tc vertify to ar�y <br /> of the stat.�ents 3r► th,is oertificaticn, the participarzt shall ettacfi an <br /> e�lanation to thi.s oertificatim.) . <br /> � PRIT�'��t PARTICIPWII' (AF'PLICANT fl'�t �1tJ �".TA Q2ANT C� OOOPIIZAZ'IVE <br /> AGF��1I', C�Z PUl'FNTIAI� O?7IRA�It� FC�t A I�TCfft ��iD pAFtl'Y OQ1I�iACT). <br /> , �'IF�SS OR AFf�S Z� AND AOLURACY OF <br /> Z}� OOd�Tl'FNIS OF T]� STATf�IS �� CN Cfft WI�N ZHIS C�I'IFICATION AND <br /> �T Z}� PROVISICNS OF 31 U.S.C. SDCTICNS 3801 �T SD�. ARE <br /> APF'L�CAAI� Zl-�I'O. <br /> Signature and Title of ALrthorized Official <br /> Zhe tmcjersignc�d chief legal oo�a�e1 for the ' ?�ereby <br /> . � oertifies that the has aut?�ority tvY3er State ar�d local <br /> law to oc=�ly u►ith the 6ubject ��.surarnes esnd that the oertificatioe� nbwe <br /> has been legally made. <br /> I 6ignature of J�pplicar,t'6 Attorney <br /> Date <br />