CertificationRegardingDebarment,Suspension,ProposedDebarment,andOtherResponsibilityMatters(Per48CFR52.209-5)

(1)TheOfferorcertifies,tothebestofitsknowledgeandbelief,thattheOfferorand itsPrincipals,andanyofitsprospective subcontractorsforthisaward —

(A)Arenotpresentlydebarred,suspended,proposedfordebarment,or declared ineligiblefortheawardofcontractsby any Federal,Stateorlocalagency;

(B)Havenot, within athree-year period precedingthisoffer,beenconvictedoforhadaciviljudgmentrenderedagainstthemfor: commissionoffraudora criminal offense in connectionwith obtaining,attemptingtoobtain,orperformingapublic(Federal,State,or local) contractorsubcontract; violation ofFederal orStateantitruststatutes relating tothesubmissionofoffers;or commission ofembezzlement,theft,forgery,bribery,falsificationordestructionofrecords,makingfalsestatements,taxevasion,violatingFederal,Stateor local criminaltaxlaws,orreceiving stolenproperty(ifofferorchecks“have”,theofferor shall alsosee52.209-7,ifincludedin thissolicitation);

(C)Arenotpresentlyindictedfor,or otherwise criminallyorcivillychargedbyagovernmentalentitywith,commissionofanyoftheoffenses enumerated in subdivision(a)(1)(i)(B)ofthisprovision;

(D)Havenot, within athree-year period precedingthisoffer,been notified ofanydelinquentFederal,Stateor local taxes in anamountthatexceeds$3,000for which theliabilityremainsunsatisfied.

(E)Havenot, within a3-year period precedingthisoffer,hadoneormorecontractsterminatedfordefaultbyanyFederal,Stateor local agency;and

(F) Do nothaveanActiveExclusionontheSystemforAwardManagement(SAM) whichisavailableathttps://sam.gov/.

(2)TheOfferor shall provideimmediatewrittennoticetotheContractingOfficerif,atanytimepriortocontractaward,theOfferorlearnsthatitscertificationwaserroneous when submittedorhas becomeerroneousbyreasonofchangedcircumstances.

(3)Thecertificationinparagraph(1)ofthisprovision is amaterialrepresentationoffactupon whichreliancewasplacedwhenmakingaward.Ifit islater determined thattheOfferor knowingly renderedanerroneouscertification, in additiontoother remedies availabletotheGovernment,the ContractingOfficermayterminatethecontractresultingfromthisaward fordefault.

(4)WheretheOfferor is unable tocertifytoanyofthestatements in thiscertification,suchprospectiveparticipantshallattachanexplanationtothiscertificationform.

Consultant(Firm):

Date:

Name:

Signature:

(PresidentorAuthorizedOfficialofConsultant)

Guidance:

(A)Offeror’s(oritssubconsultant’s)inabilitytocertifyto theitems in paragraph(1)(B),(1)(C), (1)(D),and (1)(E) will notnecessarilyresultinwithholdingofanaward.However,thiscertificationwillbeconsideredinconnection with adeterminationoftheOfferor'sresponsibility. Failure oftheOfferortofurnishacertificationorprovidesuchadditionalinformationasrequiredin paragraph(4)aboveorasrequestedbythe Contracting OfficermayrendertheOfferornonresponsible.Nothingcontainedin theforegoingshallbeconstruedtorequireestablishmentofasystemofrecords in ordertorender, in

goodfaith,thecertificationrequiredbyparagraph(1)above.The knowledge andinformationofanOfferor is notrequiredtoexceedthat which is normally possessedbyaprudentperson in theordinarycourseofbusinessdealings.

(B)“Principal”,forthepurposesofthiscertification,meansanofficer,director,owner,partner,orapersonhavingprimarymanagementorsupervisoryresponsibilities withinabusinessentity(e.g.,general manager;plantmanager;headofadivisionorbusinesssegment;andsimilarpositions).

(C) Federal taxesare considered delinquentifbothofthefollowingcriteriaapply:(i)Thetaxliabilityisfinallydetermined.Theliability is finallydeterminedifithasbeenassessed.Aliabilityisnotfinallydeterminedifthereisapendingadministrativeorjudicialchallenge.Inthecaseofajudicialchallengetotheliability,theliability is notfinallydetermineduntilalljudicialappealrightshavebeenexhausted.(ii) Thetaxpayer is delinquent in makingpayment.Ataxpayer is delinquentifthetaxpayerhas failed topaythetaxliability whenfullpaymentwasdueandrequired.Ataxpayer isnotdelinquentincaseswhereenforcedcollectionactionis precluded.

Examples.(i)Thetaxpayerhasreceivedastatutorynoticeofdeficiency,underI.R.C.§6212, whichentitlesthetaxpayerto seek TaxCourt review ofaproposedtaxdeficiency. Thisis notadelinquent taxbecauseit is notafinaltaxliability.ShouldthetaxpayerseekTax Court review,thiswillnotbeafinaltaxliabilityuntilthetaxpayerhasexercised alljudicialappealrights.(ii)TheIRShasfiledanoticeof Federal tax lien withrespecttoanassessedtaxliability,andthetaxpayerhasbeenissuedanoticeunderI.R.C.§6320entitlingthetaxpayertorequesta hearing withtheIRSOfficeof Appealscontestingthe lien filing,andtofurther appeal totheTaxCourtiftheIRSdeterminestosustainthe lien filing.Inthecourseofthehearing,thetaxpayer is entitled tocontestthe underlying taxliability becausethetaxpayerhashadnoprioropportunitytocontesttheliability. Thisis notadelinquenttaxbecauseitis notafinaltaxliability. Should thetaxpayerseektaxcourt review, thiswillnotbeafinal taxliabilityuntilthetaxpayerhasexercised alljudicialappealrights.(iii)ThetaxpayerhasenteredintoaninstallmentagreementpursuanttoI.R.C.§6159.Thetaxpayer is makingtimelypaymentsandisinfullcompliancewiththeagreementterms.Thetaxpayer is notdelinquentbecausethetaxpayer is notcurrentlyrequiredtomakefullpayment.(iv)Thetaxpayerhas filed forbankruptcyprotection.Thetaxpayer is notdelinquentbecauseenforced collection actionis stayedunder11U.S.C.362(theBankruptcy Code).