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RETURN WITH BID <br /> EPA Project Control#: L17-5329 <br /> United States Environmental Protection Agency <br /> Washington,DC 20460 <br /> Certification Regarding Debarment,Suspension and Other Responsibility Matters <br /> The prospective participant to the best of its knowledge and belief that it and its principles: <br /> ' (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily <br /> excluded from covered transactions by any Federal department or agency; <br /> ' (b)Have not within a three year period preceding this proposal been convicted of or had a civil judgment <br /> rendered against them for commission of fraud or a criminal offense in connection with obtaining, <br /> attempting to obtain,or performing a public(Federal, State or local)transaction or contract under a public <br /> ' transaction;violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, <br /> bribery,falsification or destruction of records,making false statements,or receiving stolen property. <br /> (c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity <br /> (Federal, State or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this <br /> certification; and <br /> ' (d) Have not within a three-year period preceding this application/proposal had one or more public <br /> transactions(Federal, State or local)terminated for cause or default. <br /> 1 I understand that a false statement on this certification may be grounds for rejection of this proposal or <br /> termination of the award. In addition,under 18 USC Sec. 1001, a false statement may result in fine of up <br /> to$10,000 or imprisonment for up to 5 years,or both. <br /> (Typed Name&Title of Authorized Representative) <br /> P ) <br /> (Signature of Authorized Representative) (Date) <br /> ' F� I am unable to certify the above statements.My explanation is attached. <br /> EPA FORM 5700-49(11-88) <br /> 37-ADDENDUM NO.2 <br />