“I certify under penalty of law, that this document and
all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and
evaluated the information submitted. Based on my inquiry of the person or
persons who manage that system or those persons directly responsible for
gathering information, submitted is, to the best of my knowledge and belief,
true, accurate and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fine and imprisonment
for knowing violations.” |