ATTM 003.pdf

This is a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion form for lower tier covered transactions under 45 CFR Part 76. The document applies to prospective lower tier participants in federal transactions involving state and local entities. The certification requires that signing participants attest they are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any federal department or agency. Prospective lower tier participants unable to certify compliance with these requirements must attach a written explanation to their proposal. By submitting this certification, participants commit to including the identical clause in all lower tier covered transactions and solicitations without modification.

This document serves as a compliance and eligibility verification requirement rather than addressing pricing, set asides, or funding sources. The certification is mandatory for participation and must be executed by an authorized representative of the prospective lower tier participant. No exemptions, waivers, or alternative compliance methods are provided within this certification form. The clause's inclusion in all lower tier transactions ensures a consistent verification chain throughout the contracting process.