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11/05/2013AP-B
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11/05/2013AP-B
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Last modified
6/26/2018 10:56:42 AM
Creation date
6/26/2018 10:57:03 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
11/05/2013
Meeting Body
Board of County Commissioners
Book and Page
195
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FilePath
H:\Indian River\Network Files\SL00000G\S0004NT.tif
SmeadsoftID
14234
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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, 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 /> /�� 25 <br />
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