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12/20/2016
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12/20/2016
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Last modified
4/29/2025 12:03:39 PM
Creation date
2/16/2017 2:28:58 PM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
12/20/2016
Meeting Body
Board of County Commissioners
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Certification Regarding <br />Debarment, Suspension, Ineligibility, <br />and <br />Voluntary Exclusion <br />Subcontractor Covered Transactions: <br />The prospective subcontractor of the Subgrantee/Subrecipient certifies, by submission of this <br />document, that neither it nor its principals is presently debarred, suspended, proposed for <br />debarment, declared ineligible, or voluntarily excluded from participation in this transaction by <br />any federal department or agency. <br />(Where the Subgrantee's/Subrecipient's subcontractor is unable to certify to the above statement, the <br />prospective subcontractor must attach an explanation to this form.) <br />SUBCONTRACTOR: <br />Name of Company <br />Street Address <br />City, State, Zip <br />Federal Employer Identification Number (FEIN) <br />M <br />Signature Date <br />Printed Name <br />Subgrantee's/Subrecipient's Name <br />Attachment "C" <br />P82 <br />
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