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Last modified
3/5/2021 9:46:29 AM
Creation date
9/3/2020 10:52:50 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
08/18/2020
Control Number
2020-146
Agenda Item Number
8.R.
Entity Name
Federal Emergency Management Agency (FEMA)
Subject
Subaward and grant agreement for COVID-19
agreement number Z1841
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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />Attachment C <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY <br />and VOLUNTARY EXCLUSION <br />With respect to any Sub -recipient of the State, which receives funds under this Agreement from the Federal <br />government, to the best of its knowledge and belief, 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 that the 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 certification is a material representation of fact <br />upon which reliance was placed when this transaction was made or entered into. <br />Sub -recipient further understands that submission of this certification is a prerequisite for making or entering <br />into this transaction imposed by 31 U.S.C. § 1352. Any person who fails to file the required certification is <br />subject to a civil penalty of not less than $10,000 and npAt.px�..$100,000 for each such failure. <br />By: <br />Sus.q.60aR'(s, Chairman <br />Name and Title <br />1801 27th Street <br />Street Address <br />Vero Beach, FL 32960 <br />City, State, Zip <br />August 18, 2020 <br />Date <br />Attest: Jeffrey R. Smith. Clerk of <br />Circuit Court and Comptronw <br />1 <br />BIt <br />r. <br />)ail h - <br />Deputy Clerk <br />30 <br />ER Z <br />Z1841 <br />:oQ= <br />rver County <br />E; cioient's Name <br />DEM Contract Number <br />DR4486 <br />
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