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(h) With respect to any Recipient which is not a local government or state agency, <br />and which receives funds under this Agreement from the federal government, by signing this Agreement, <br />the Recipient certifies, to the best of its knowledge and belief, that it and its principals: <br />are not presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from covered transactions by a federal department or agency; <br />have not, within a five-year period preceding this proposal been <br />convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense <br />in connection with obtaining, attempting to obtain, or performing a public (federal, state or local) <br />transaction or contract under public transaction; violation of federal or state antitrust statutes or <br />commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false <br />statements, or receiving stolen 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 />18(h)2. of this certification; and <br />4. have not within a five-year period preceding this Agreement had one or <br />more 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. SUBMISSION OF ATTACHMENT H DOES NOT PRECLUDE THE <br />RECIPIENT'S COMPLETION AND SUBMISSION OF THE "BIDDING INFORMATION AND <br />CONTRACTOR ELIGIBILITY FORM." <br />16 <br />