Exhibit 6
<br />This form is available electronically. Form Approved — OMB No. 0505 -0025
<br />Expiration Date: 12/31/2012
<br />AD -3031
<br />U.S. Department of Agriculture
<br />ASSURANCE REGARDING FELONY CONVICTION
<br />OR TAX DELINQUENT STATUS FOR CORPORATE APPLICANTS
<br />NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 USC 55a —as amended). The authority for requesting the following information for
<br />USDA agencies and offices is in sections 738 and 739 of the Agriculture, Rural Development, Food and Drug Administration, and Related Agencies Appropriations Act,
<br />2012, P. L. 112 -55, and subsequent similar provisions. The information will be used to document compliance with appropriations restrictions.
<br />According to the Paperwork Reduction Act of 1995 an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it
<br />displays a valid OMB control number. The valid OMB control number of this information collection is 0505 -0025. The time required to complete this information collection is
<br />estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
<br />completing and reviewing the collection of information. The provisions of appropriate criminal and civil fraud, privacy, and other statutes maybe applicable to the
<br />information provided.
<br />This award is subject to the provisions contained in the Agriculture, Rural Developme4 Food and Drug Administration,
<br />and Related Agencies Appropriations Act, 2012, P.L. 112 -55, Division A, Sections 738 and 739 for USDA agencies and
<br />offices (except Forest Service) regarding corporate felony convictions and corporate federal tax delinquencies.
<br />Accordingly, by accepting this award the recipient acknowledges that it: (1) does not have a tax delinquency, meaning
<br />that it is not subject to any unpaid Federal tax liability that has been assessed, for which all judicial and administrative
<br />remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with
<br />the authority responsible for collecting the tax liability, and (2) has not been convicted (or had an officer or agent acting
<br />on its behalf convicted) of a felony criminal violation under any Federal or State law within 24 months preceding the
<br />award, unless a suspending and debarring official of the United States Department of Agriculture has considered
<br />suspension or debarment of the recipient corporation, or such officer or agent, based on these convictions and/or tax
<br />delinquencies and determined that suspension or debarment is not necessary to protect the interests of the Government. If
<br />the recipient fails to comply with these provisions, the agency will annul this agreement and may recover any funds the
<br />recipient has expended in violation of sections, 738 and 739.
<br />MML,� I
<br />APPLICANT'S SIGNATURE (BY)
<br />TITLE/RELATIONSHIP OF THE INDIVIDUAL IF SIGNING IN A
<br />REPRESENTATIVE CAPACITY
<br />BUSINESS NAME
<br />DATE SIGNED (MM- DD -YYYY)
<br />The U.S. Department of Agriculture (USDA) prohibits discrimination in all of its programs and activities on the basis of race, color, national origin, age, disability, and where
<br />applicable, sex, marital status, familial status, parental status, religion, sexual orientation, political beliefs, genetic information, reprisal, or because all or part of an individual's
<br />income is derived from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
<br />communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at (202) 720 -2600 (voice and TDD). To file a complaint of
<br />discrimination, write to USDA, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S. W, Stop 9410,
<br />Washington, DC 20250 -9410, or call toll -free at (866) 632 -9992 (English) or (800) 877 -8339 (TDD) or (866) 377 -8642 (English Federal -relay) or (800) 845 -6136 (Spanish
<br />Federal- relay). USDA is an equal opportunity provider and employer.
<br />Attachment number 1
<br />F -7 Page 197
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