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08/13/2019 (3)
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08/13/2019 (3)
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Last modified
2/11/2020 12:42:49 PM
Creation date
12/6/2019 10:40:33 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
08/13/2019
Meeting Body
Board of County Commissioners
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ATTACHMENT F <br />Certification Regarding <br />Debarment, Suspension, Ineligibility <br />And Voluntary Exclusion <br />Subcontractor Covered Transactions <br />(1) The prospective subcontractor of the Sub -Recipient, <br />certifies, by submission of this document, that neither it nor its principals is presently debarred, <br />suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation <br />in this transaction by any Federal department or agency. <br />(2) Where the Sub -Recipient's subcontractor is unable to certify to the above statement, the <br />prospective subcontractor shall attach an explanation to this form. <br />SUBCONTRACTOR: <br />By: <br />Signature Sub -Recipient's Name <br />Name and Title DEM Contract Number <br />Street Address Project Number <br />City, State, Zip <br />Date <br />50 <br />137 <br />
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