6 - Milk Bid Cert Regarding Debarment.pdf

Certitkation Regarding Dcbarmcnt'Suspcnsion Page I of2

Certification Regarding Debarment, Suspension, '"eligibility and Voluntary Exclusion -Lower Tier Covered Transactions

Agriculture

(BEFORE COMPLETING CERTIF.CAT.ON, READ ATTACHED NSTRUCTIONS)

pScipation in this transaction by any Federal department or agency.

(2) Wrere the prospective lower tier part,cpant is unable to certfy any of the statements in IN. eerier, s,ch prospective participant shall attach an explanation to this proposal.

PR/Award Number or Project Name Organization Name

Name andTitle of Authorized Representative

.— — " " Date Signature

Certificaiion Regarding Debarment Suspension Page 2of 2

INSTRUCTIONS TO BIDDERS FOR COMPLETING CERTIFICATION FORM

NOTE: Each responsive bidder must include this certification statement with it's bid on each contract equaling or exceeding $25,000 or any contract for audit services regardless of amount.

1. By signing and submitting this form, the prospective lower tier participant is providing the certification set out on the reverse side in accordance with these instructions.

2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/ordebarment.

3 The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous when submitted orhas become erroneous by reason of changed circumstances

4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction participant person, primary covered transaction, principal, proposal, and voluntanly excluded as used in this clause, have the meanings set out in the Definitions and Coverage sections of the U. S.

Department of Agriculture regulations 7CFR 3017 implementing Executive Order 12 549 (Contact the person to whom this proposai is submitted for assistance in obtaining acopy of those regulations.)

5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntanly excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.

6. The prospective lower tier participant further agrees by submitting this form that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transaction" without modification in all lower tier covered transactions and in ai.

solicitations for lower tier covered transactions.

7. Aparticipant in a covered transaction may rely upon a certification that a prospective participant in a lower tier covered transaction has not been debarred suspended, ineligible, or voluntanly excluded from the covered transaction, unless the participant knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its pnncipals Each participant may, but is not required to, check the Nonprocurement List.

8 Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

9. Except for transactions authorized under Paragraph 5of these instructions, if a participant in acovered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred ineligible or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.

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