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® i <br /> MIMI' 192= 11 <br /> 2. DEBARMENT SUSPENSION. AND OTHER RESPONSIBILITY MATTERS (DIRECT RECIPIENT) — <br /> As required by Executive Order 12549, Debarment and Suspension, and implemented at 28 CFR Part 67, for prospective participants <br /> in primary covered transactions, as defined at 28 CFR Part 67, Section 67.510 <br /> A. The applicant certifies tlrat it and its principals: <br /> (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, sentenced to a denial of Federal benefits by <br /> a State or Federal court, or voluntarily excluded from covered transactions by any Federal department or agency; <br /> (b) Have not within a three-year period preceding this spplicetion been convicted of or had a civi judgment rendered against them for <br /> commission of fraud or a cnmiml offense in connection with obtaining, attempting to obta'.n, or performing a public (Federal State or q= <br /> local) transaction or contract under a public transaction; violation of Federal or State antitrust stables or commission of ws <br /> n^ <br /> embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; <br /> y� <br /> (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with .e;{' <br /> commission of any of the offenses enumerated in paragraph ( 1 )(b) of this certification; and (d) Have not within a three-year period , a <br /> preceding this application had one or more public transactions (Federal. Slate, or local) terminated for cause or default; and ',1 <br /> B. Where the applicant is unable to certify to any of the statements in this certification, he or she shat attach an explanation to this <br /> application. <br /> 3. DRUG-FREE WORKPLACE (GRANTEES OTHER THAN INDIVIDUALS) <br /> As required by the Drug-Ree WonTlace Act of 1988, and implemented at 28 CFR Part 67, Subpart F, for grantees, as defined at 28 <br /> CFR Par[ 67 Sections 67.615 and 67.820 <br /> A. The applicant certifies Biel it At or wit continue to provide a drug-free w kjplace by: <br /> (a) Publishing a statement ratifying employees that the unlawful manufacture, disMbution, dispensing, possession, or use of a <br /> controlled substance is protdbited in the grantee's workplace and specifying the actions that will be taken against employees for <br /> violation of such prohibition; 1 i . <br />