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Exhibit G-2 Certification Regarding Debarment, Suspension and Other <br />Responsibility Matters - Primary Covered Transactions <br />I. The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals: <br />A, Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily <br />excluded from covered transactions by any Federal department or agency, <br />B. Have not within a three (3) year period preceding this proposal been convicted of or had a civil judgment <br />rendered against them for commission of fraud or a criminal offense in connection with obtaining, <br />attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under <br />a public transaction; violation of Federal or State anti-trust statues or commission of embezzlement, <br />theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving <br />stolen property; <br />C. Arc not presently indicted for or otherwise criminally or civilly charged by a governmental entity <br />(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) <br />of this certification; and <br />D. Have not within a three (3) year period preceding this application / proposal had one or more public <br />transactions (Federal, State and local) tennidnated for cause or default. <br />II. Where the prospective primary participant is unable to c Wify to any of the statements in this certification, <br />such prospective participant shall attach an explanation to this proposal. <br />Jacobs Engineering Group Inc. <br />Consultant (Firm Name) <br />Signature {Auth(mized offldal of Consultant) <br />Date <br />Agreement Number: <br />WSDOT Form 140-089 EF Exhibit G page 1 of f <br />