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2015-190
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2015-190
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Last modified
4/23/2018 11:37:13 AM
Creation date
11/24/2015 1:47:39 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
10/06/2015
Control Number
2015-190
Agenda Item Number
8.K.
Entity Name
Division of Emergency Management
Subject
Emergency Management Preparedness
Subgrant Agreement
Project Number
16-BG-83-10-40-01-030
Alternate Name
EMPA
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Attachment I <br />Certification Regarding <br />Debarment, Suspension, Ineligibility <br />And VoluntaryfExclusion <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, <br />proposed for debarment, declared ineligible, or voluntarily excluded from participation in this <br />transaction by any 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 />32 <br />
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