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<br />Certification Regarding Debarment,
<br />Subcontracts and PurchasegOrdersand Voluntary Exclusion
<br />1, The prospective tontl tier participant
<br />proposal,fies, by submission of this
<br />neither it nor its principals is preseyebared, suspended, proposed for debarment, declared
<br />ineligible, or voluntarily excluded from participation in this transaction by any Federal department or
<br />agency.
<br />2. Where the prospective lower tier participant is unable to certify to any of the
<br />statements in this certification, such prospective participant shall attach an explanation to this
<br />proposal.
<br />Its Is
<br />16. GEKIINWAIwig �� vr........_ ---
<br />(Applicable to all Federal -aid construction contracts and to all related subcontracts which exceed $100,000 -
<br />49 CFR 20)
<br />(1) The prospective participant certifies, by signing and submitting this bid or proposal, to the best
<br />of his or her knowledge and belief, that:
<br />a. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
<br />undersigned, to any person for influencing or attempting to influence an officer or
<br />employee of any Federal agency, a Member of Congress, an officer or employee of
<br />Congress, or an employee of a Member of Congress in connection with the awarding
<br />of any Federal contract, the making of any Federal grant, the making of any Federal
<br />loan, the entering into of any cooperative agreement, and the extensions
<br />continuation, renewal, amendment, or modification of any Federal contract, grant,
<br />loan, or cooperative agreement.
<br />b. If any funds other than Federal appropriated funds have been paid or will be paid to
<br />any person for influencing or attempting to influence an officer or employee of any
<br />Federal agency, a Member of Congress, an officer or employee of Congress, or an
<br />employee of a Member of Congress in connection with this Federal contract, grant,
<br />loan, or cooperative agreement, the undersigned shall complete and submit
<br />Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its
<br />instructions,
<br />(2) This certification is a material representation of fact upon which reliance was placed when
<br />this transaction was made or entered into. Submission of this certification is a prerequisite for
<br />making or entering into this transaction imposed by 31 U.S.C. 1352. Any person who fails to
<br />file the required certification shall be subject to a civil penalty of not less than $10,000 and not
<br />more than $100,000 for each such failure,
<br />(3) The prospective participant also agrees by submitting his or her bid or proposal that he or she
<br />shall require that the language of this certification be included in all lower tier subcontracts,
<br />which exceed $100,000 and that all such recipients shall certify and disclose accordingly,
<br />17, BUY AMERICA
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<br />All steel or iron used must be produced i includ ithe ncludinged States, in grinding, drill ng�weld ng, firdance n sh ng or application of a
<br />amended. All manufacturing process 9
<br />coating, for such steel or iron mateialso must occur in the nce the valuer
<br />rof the material to which the coating is applied. Coating . If domestics eel ore
<br />which protect or enhance on
<br />is taken outside of the United States �sn
<br />orpod to the project, these same provisions
<br />will be a component of any manufactured product inc(
<br />apply, except that the manufacturer may use minimal quantities of foreign steel and iron when the cost o
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<br />Provisions.doc
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