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supplier, subcontractor, or consultant under contract with any public entity, and may not transact business <br /> with any public entity. <br /> ( h ) With respect to any Recipient which is not a local government or state agency , and <br /> which receives funds under this Agreement from the federal government, by signing this Agreement, the <br /> Recipient 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 <br /> ineligible , or voluntarily excluded from covered transactions by a federal department or agency ; <br /> 2 . have not, within a five-year period preceding this proposal been convicted of <br /> or had a civil 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) transaction or contract <br /> under public transaction ; violation of federal or state antitrust statutes or commission of embezzlement, <br /> theft, forgery , bribery, falsification or destruction of records , making false statements , or receiving stolen <br /> property; <br /> 3 . are not presently indicted or otherwise criminally or civilly charged by a <br /> governmental entity (federal , state or local ) with commission of any offenses enumerated in paragraph <br /> 20( h )2 . of this certification ; and <br /> 4 . have not within a five-year period preceding this Agreement had one or more <br /> public transactions (federal , state or local) terminated for cause or default. <br /> Where the Recipient is unable to certify to any of the statements in this certification , such <br /> Recipient shall attach an explanation to this Agreement. <br /> In addition , the Recipient shall submit to the Department ( by email or by facsimile transmission) <br /> the completed "Certification Regarding Debarment, Suspension , Ineligibility And Voluntary Exclusion" <br /> (Attachment H ) for each prospective subcontractor which Recipient intends to fund under this Agreement. <br /> Such form must be received by the Department prior to the Recipient entering into a contract with any <br /> prospective subcontractor. <br /> (i) The State of Florida's performance and obligation to pay under this Agreement is <br /> contingent upon an annual appropriation by the Legislature , and subject to any modification in <br /> accordance with Chapter 216 , Fla. Stat. or the Florida Constitution . <br /> 15 <br />