Laserfiche WebLink
I <br /> Exhibit M-2 <br /> Certification Regarding Debarment, Suspension, and Other Responsibility <br /> Matters-Primary Covered Transactions <br /> The prospective primary participant certifies to the best of its knowledge and belief,that it and its <br /> principals: <br /> A. Are not presently debarred, suspended, proposed for debarment,declared ineligible,or <br /> voluntarily excluded from covered transactions by any federal department or agency; <br /> B. Have not within a three-year period preceding this proposal been convicted of or had a civil <br /> judgment rendered against them for commission or fraud or a criminal offense in connection <br /> with obtaining, attempting to obtain, or performing a public(federal, state,or local)transaction <br /> or embezzlement, theft,forgery, bribery, falsification or destruction of records,making false <br /> statements,or receiving stolen property; <br /> C. Are not presently indicted for otherwise criminally or civilly charged by a governmental entity <br /> (federal,state,or local)with commission of any of the offenses enumerated in paragraph(I)(B) <br /> of this certification; and <br /> D. Have not within a three(3)year period preceding this application/proposal had one or more <br /> public transactions(federal,state, or local)terminated for cause or default. <br /> II. Where the prospective primary participant is unable to certify to any of the statements in this <br /> certification, such prospective participant shall attach an explanation to this proposal. <br /> Consultant(Firm): Perteet, Inc. <br /> 05/25/0?- <br /> (Date) (Signature)President or Authorized Official of Consultant <br /> 10 L <br /> DOT Form 140-089 EF Page 37 <br /> Revised 6/05 <br />