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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 /> 1 . are not presently debarred , suspended , proposed for debarment, <br /> declared 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 <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 />