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9) Nothing contained in the foregoing shall be b) Have not within a three-year period preceding <br /> construed to require establishment of a system of this contract been convicted of or had a civil <br /> records in order to render in good faith the judgment rendered against them for commission <br /> certification required by this clause.The knowledge of fraud or a criminal offense in connection with <br /> and information of a participant is not required to obtaining, attempting to obtain, or performing a <br /> exceed that which is normally possessed by a public(Federal, State or local)transaction or <br /> prudent person in the ordinary course of business contract under a public transaction;violation of <br /> dealings. Federal or State antitrust statutes or commission <br /> 10) Except for transactions authorized under paragraph 6 of embezzlement,theft,forgery, bribery, <br /> of these instructions, if a participant in a covered falsification or destruction of records,making <br /> transaction knowingly enters into a lower tier false statements, or receiving stolen property; <br /> covered transaction with a person who is suspended, c) Are not presently indicted for or otherwise <br /> debarred, ineligible, or voluntarily excluded from criminally or civilly charged by a governmental <br /> participation in this transaction, in addition to other entity(Federal, State or local)with commission <br /> remedies available to the Federal Government,DOH of any of the offenses enumerated in paragraph <br /> may terminate this transaction for cause or default. (1)(b)of this certification; and <br /> d) Have not within a three-year period preceding <br /> 7. CERTIFICATION REGARDING this contract had one or more public transactions <br /> DEBARMENT,SUSPENSION,AND OTHER (Federal, State or local)terminated for cause or <br /> RESPONSIBILITY MATTERS--PRIMARY default. <br /> COVERED TRANSACTIONS <br /> 2) Where the prospective contractor is unable to certify <br /> 1) The prospective contractor certifies to the best of its to any of the statements in this certification,such <br /> knowledge and belief, that it and its principals: prospective contractor shall attach an explanation,to <br /> a) Are not presently debarred, suspended, proposed this proposal. <br /> for debarment, declared ineligible, or voluntarily <br /> excluded from covered transactions by any <br /> Federal department or agency; <br /> CONTRACTOR SIGNATURE REQUIRED <br /> SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL TITLE <br /> (Please also print or type name and title) <br /> ORGANIZATION NAME: DATE <br /> ` 9 <br /> DOH Contract#N13413 Page 11 of 13 rev. 4/28/04 <br />