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2014-104
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Last modified
3/13/2017 12:43:06 PM
Creation date
1/5/2017 1:03:19 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
08/19/2014
Control Number
2014-104
Agenda Item Number
8.V.
Entity Name
Florida Division of Emergency Management
Subject
Emergency Management Plan /Program
State Funded Subgrant Agreement
Project Number
15-FG-40-10-40-01-098
Alternate Name
EMPA
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Attachment I <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, <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 />33 <br />
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