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07/12/2016 (5)
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07/12/2016 (5)
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Last modified
9/29/2016 11:50:50 AM
Creation date
9/29/2016 11:50:07 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
07/12/2016
Meeting Body
Board of County Commissioners
Subject
Fellsmere Roads
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Attachment G <br /> Certification Regarding <br /> Debarment, Suspension, Ineligibility <br /> And Voluntary Exclusion <br /> SubcontractoP 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 /> 30 <br /> 236 <br />
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