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2012-124
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2012-124
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Last modified
1/7/2016 2:21:07 PM
Creation date
10/1/2015 4:35:49 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/03/2012
Control Number
2012-124
Agenda Item Number
8.O
Entity Name
Florida Division of Emergency Management
Subject
Emergency Management Preparedness and Assistance Grant
Project Number
13-BG-83-10-40-01-031
Supplemental fields
SmeadsoftID
11363
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Attachment H <br /> Certification Regarding <br /> Debarment, Suspension , Ineligibility <br /> And Voluntary Exclusion <br /> Subcontractor Covered Transactions <br /> ( 1 ) The prospective subcontractor of the Recipient , certifies , by <br /> submission of this document , that neither it nor its principals is presently debarred , suspended , proposed <br /> for debarment , declared ineligible , or voluntarily excluded from participation in this transaction by any <br /> Federal department or agency . <br /> ( 2 ) Where the Recipient ' s subcontractor is unable to certify to the above statement , the prospective <br /> subcontractor shall attach an explanation to this form . <br /> SUBCONTRACTOR : <br /> By : <br /> Signature Recipient ' s Name <br /> Name and Title DEM Contract Number <br /> Street Address Project Number <br /> City , State , Zip <br /> Date <br /> 28 <br />
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