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2019-106
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2019-106
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Last modified
12/27/2019 1:42:24 PM
Creation date
7/23/2019 12:03:50 PM
Metadata
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Template:
Official Documents
Official Document Type
Grant
Approved Date
07/16/2019
Control Number
2019-106
Agenda Item Number
8.D.
Entity Name
Florida Department of Emergency Management
Subject
Emergency Management Preparedness Assistance Grant
Area
Agreement Number A004
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ATTACHMENT H <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 FDEM Contract Number <br />Street Address Project Number <br />City, State, Zip <br />Date <br />45 <br />
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