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HomeMy WebLinkAboutC10-193 ECRTA Certification Regarding Debarment, Suspension Primary CoveredCERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS -PRIMARY COVERED TRANSACTIONS Complete if receiving singularly or combined more than $25,000 in FTA Section 5310, 5311, 5311(f), 5316, and 5317 funds. The potential grantee under this FTA project: NAME OF AGENCY Eagle County Regional Transportation Authority certifies to the best of its knowledge and belief, that it and its principals: (a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or volun- tarily excluded by any federal department or agency; (b) have not within athree-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transac- tion 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 other wise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in para- graph (b) of this certification; and have not within a three year period preceding this applica- tion/proposal had one or more public transactions (federal, state or local) terminated for cause or default; (d) have not within athree-year period preceding this application/proposal had one or more pub- lic transactions (federal, state, or local) terminated for cause or default. (If the applicant is unable to certify to any of the statements in this certification, such applicant shall attach an explanation to this certification). The potential grantee under this FTA project: NAME OF AGENCY Eagle County Regional Transportation Authority Certifies or affirms the truthfulness and accuracy of the contents of the statements submitted on or with the certification and understand that the provisions of Title 49 CFR Part 29 and FTA C .2015.1 are applicable thereto. EXECUTED THIS DAY MONTH YEAR 15 June 2010 TITLE OF AUTHORIZED REPRESENTATIVE Ea le Count Attorne SIGNATURE OF~AUTHORIZED REPRESENTATIVE _-. Colorado Department of Transportation ~' 10-1~3