Common use of Certification Regarding Debarment, Suspension, and Other Responsibility Matters Clause in Contracts

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant certifies to the best of its knowledge and belief, that it and its principles: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.b. of this certification; and d. Have not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant is unable to certify to any of the statements in this certification, such Consultant shall attach an explanation to this proposal.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. Primary Covered Transactions (2 CFR part 417 and 2 CFR part 180, as applicable) (1. By signing the agreement below, the Consultant ) The Participant certifies to the best of its the Participant’s knowledge and belief, that it the Participant and its principleshis or her principals: a. (a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. (b) Have not within a the three-year period preceding this proposal been convicted of or Agreement had a criminal conviction or civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federalFederal, stateState or local government) contract, or local) transaction or contract under a public transaction; including violation of federal Federal or state State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. (c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federalFederal, stateState, or local) with commission of any of the offenses enumerated set forth above in paragraph 1.b. Paragraph 14D(1)(b) of this certification; and d. (d) Have not within a three (3) the three-year period preceding this application/proposal Agreement had one or more public transactions contracts (federalFederal, state, State or local) terminated for cause or default. (2. Where ) If the Consultant Participant is unable to certify to any of the statements set forth in this certificationparagraph 10D (1), such Consultant the Participant shall attach an explanation to this proposalAgreement.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. Primary Covered Transactions 1. By signing the agreement belowthis agreement, the Consultant certifies to the best of its knowledge and belief, that it and its principlesprincipals: a. a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. b) Have not within a three-year period preceding this proposal agreement been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.b. of this certificationa.(ii) above; and d. d) Have not within a three (3) three-year period preceding this application/proposal agreement had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant is unable to certify to any of the statements in this certification, such Consultant shall attach an explanation to this proposalagreement. I acknowledge that this certification is to be furnished to State and the FHWA in connection with this agreement involving participation of federal-aid highway funds and is subject to applicable, state and federal laws, both criminal and civil.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. Primary Covered Transactions 1. By signing the agreement belowthis agreement, the Consultant certifies to the best of its knowledge and belief, that it and its principlesprincipals: a. a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. b) Have not within a three-year period preceding this proposal agreement been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.b. of this certification) above; and d. d) Have not within a three (3) three-year period preceding this application/proposal agreement had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant is unable to certify to any of the statements in this certification, such Consultant shall attach an explanation to this proposalagreement. I acknowledge that this certification is to be furnished to State and is subject to applicable, state and federal laws, both criminal and civil.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant Primary Covered Transactions (7 CFR Part 3017). A. The Sponsors certifies to the best of its their knowledge and belief, that it they and its principlestheir principals: a. (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. (2) Have not within a three3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federalFederal, stateState, or local) transaction or contract under a public transaction; violation of federal Federal or state State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federalFederal, stateState, or local) with commission of any of the offenses enumerated in paragraph 1.b. A(2) of this certification; and d. (4) Have not within a three (3) -year period preceding this application/proposal had one or more public transactions (federalFederal, stateState, or local) terminated for cause or default. 2. B. Where the Consultant Sponsors is unable to certify to any of the statements in this certification, such Consultant shall prospective participant must attach an explanation to this proposalagreement.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. 11.1 By signing the agreement below, the Consultant SERVICE PROVIDER certifies to the best of its knowledge and belief, that it and its principlesprincipals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.b. 11.1(b) of this certification; and d. Have not within a three (3) year period preceding this application/proposal Agreement had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant is unable to certify to any of the statements in this certification, such Consultant shall attach an explanation to this proposal.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant The CONTRACTOR certifies to the best of its knowledge and belief, belief that it and its principlesprincipals: a. A. Are not presently debarred, suspended, proposed for debarmentdebamlent, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. B. Have not within a three-three year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, state or local) transaction or contract under a public transaction; violation of federal or state Federal of State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. C. Are not presently indicted for or otherwise criminally or civilly charged by a governmental government entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.b. B of this certification; and d. D. Have not within a three (3) three-year period preceding this application/proposal contract had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant is unable to certify to any The CONTRACTOR understands that false statement on this certification may be grounds for termination of the statements contract. In addition, under 18 0USC Sec. 1001, a false statement may result in this certificationa fine of up to $10,000 or imprisonment for up to five years, such Consultant shall attach an explanation to this proposalor both.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant certifies Primary Covered Transactions (7 CFR Part 3017). A. The sponsors certify to the best of its their knowledge and belief, that it they and its principles:their principals— a. (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. (2) Have not within a three3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federalFederal, stateState, or local) transaction or contract under a public transaction; violation of federal Federal or state State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federalFederal, stateState, or local) with commission of any of the offenses enumerated in paragraph 1.b. A(2) of this certification; and d. (4) Have not within a three (3) -year period preceding this application/proposal had one or more public transactions (federalFederal, stateState, or local) terminated for cause or default. 2. B. Where the Consultant is primary sponsors are unable to certify to any of the statements in this certification, such Consultant shall prospective participant must attach an explanation to this proposalagreement.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant certifies Primary Covered Transactions (7 CFR Part 3017). A. The sponsor certify to the best of its their knowledge and belief, that it they and its principlestheir principals: a. (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. (2) Have not within a three3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federalFederal, stateState, or local) transaction or contract under a public transaction; violation of federal Federal or state State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federalFederal, stateState, or local) with commission of any of the offenses enumerated in paragraph 1.b. A(2) of this certification; and d. Have not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant is unable to certify to any of the statements in this certification, such Consultant shall attach an explanation to this proposal.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. A. By signing the agreement below, the Consultant Contractor certifies to the best of its knowledge and belief, that it and its principles: a. 1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. 2. Have not within a three-year three‐year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. 3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.bA.2. of this certification; and d. 4. Have not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. 2. B. Where the Consultant Contractor is unable to certify to any of the statements in this certification, such Consultant Contractor shall attach an explanation to this proposal.. DATED the day and year set forth above. CITY OF OLYMPIA

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant certifies Primary Covered Transactions (7 CFR Part 3017). A. The sponsors certify to the best of its their knowledge and belief, that it they and its principlestheir principals: a. (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. (2) Have not within a three-year 3‐year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federalFederal, stateState, or local) transaction or contract under a public transaction; violation of federal Federal or state State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federalFederal, stateState, or local) with commission of any of the offenses enumerated in paragraph 1.b. A(2) of this certification; and d. (4) Have not within a three (3) year 3‐year period preceding this application/proposal had one or more public transactions (federalFederal, stateState, or local) terminated for cause or default. 2. B. Where the Consultant is primary sponsors are unable to certify to any of the statements in this certification, such Consultant shall prospective participant must attach an explanation to this proposalagreement.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant certifies Primary Covered Transactions (7 CFR Part 3017). A. The sponsors certify to the best of its their knowledge and belief, that it they and its principlestheir principals: a. (1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal Federal department or agency; b. (2) Have not within a three3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federalFederal, stateState, or local) transaction or contract under a public transaction; violation of federal Federal or state State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. (3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federalFederal, stateState, or local) with commission of any of the offenses enumerated in paragraph 1.b. A(2) of this certification; and d. (4) Have not within a three (3) -year period preceding this application/proposal had one or more public transactions (federalFederal, stateState, or local) terminated for cause or default. 2. B. Where the Consultant is primary sponsors are unable to certify to any of the statements in this certification, such Consultant prospective participant shall attach an explanation to this proposalagreement.

Certification Regarding Debarment, Suspension, and Other Responsibility Matters. 1. By signing the agreement below, the Consultant Contractor certifies to the best of its knowledge and belief, that it and its principles: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency; b. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph 1.b. of this certification; and d. Have not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default. 2. Where the Consultant Contractor is unable to certify to any of the statements in this certification, such Consultant Contractor shall attach an explanation to this proposal.