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EPA Project Control Number E PA United States Environmental Protection Agency Washington, DC, 20460 Certification Regarding , Debarment , Suspension , and Other Responsibility Matters 5 The prospective participant certifies to the best of its knowledge and belief that it andits principals: (a) Are not presently debarred , suspended , proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department. or agency; (b) Have not within a three year period preceding this proposal been convicted of or had a civil judgement rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal , State, or local) transaction or contract under a public transaction ; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1b) of this certification ; and (d) -Have not -within a --three-year period -preceding this - appNcation/proposal had one : or more public transactions (Federal ; State , or local ) terminated for cause or default. I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award : In addition , under 18 _USC Sec. 1001 , a false statement may result in a fine of up to $ 10 , C00 or imprisonment for up to 5 years , or both. Kenneth R . Mac .,it , Chairman Typed N7elte of Aut^ urized Repres ntative i 09 - 16 - 2003 Signasdre o uthorizea =iecreseMa.tive Date 1 am ur: a2i ,9 vo certify to the above statements . My explanation is attached . SPA Form 570049 _ ' : 2 ' Page 21