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Attachment C <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY <br />and VOLUNTARY EXCLUSION <br />With respect to any Sub -recipient other than a State agency or pol tical subdiv sion of the State, wh ch <br />rece ves funds under this Agreement from the Federal govemment, to the best of is knowledge and bel ef, <br />that it and its principals: <br />1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or <br />voluntarily excluded from covered transactions by any Federal department or agency; <br />2. Have not within the five-year period preceding entering into this Agreement had one or more <br />public transactions (Federal, State, or Local) terminated for cause or default; and <br />3. Have not within the five-year period preceding entering into this proposal been convicted of or <br />had a civil judgment rendered against them for: <br />a) the commission of fraud or a criminal offense in connection with obtaining, attempting to <br />obtain, or performing a public (Federal, State, or Local) transaction or a contract under public <br />transaction, or b) violation of Federal or State antitrust statutes or commission of <br />embezzlement, theft, forgery, bribery, falsification, or destruction of records, making false <br />statements, or receiving stolen property. <br />The Sub -recipient understands and agrees thatthe language of this certification must be included in the <br />award documents for all subawards at all tiers (including subcontracts, subgrants, contracts under grants, <br />loans, and cooperative agreements) and that all contractors and sub -contractors must certify and disclose <br />accordingly. <br />The Sub -recipient further understands and agrees that this certificat on is a mater al representation of fact <br />upon wh ch reliance was placed when this transaction was made or entered into. <br />Sub -recipient further understands that submission of this certification s a prerequis to for making or entering <br />nto this transaction mposed by 31 U.S.C. § 1352. Any person who fails to file the required certif cation is <br />subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. <br />By: <br />Signature <br />Name. and Title <br />1801 27th Street <br />Street Address <br />Vero Beach, Florida 32960 <br />City, State, Zip <br />Date <br />30 <br />Indian River County <br />Sub -Recipient's Name <br />Z1630 <br />DEM Contract Number <br />DR4468 <br />FEMA Project Number <br />109 <br />