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2022-178
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2022-178
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Last modified
10/17/2022 11:21:54 AM
Creation date
10/17/2022 11:19:56 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
09/20/2022
Control Number
2022-178
Agenda Item Number
8.G.
Entity Name
State of Florida, Division of Emergency Management
Subject
Approval of Expenditures of Emergency Management Program Grant (EMPG)
Federally Funded Subgrant Agreement; Agreement No. G0371
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A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />FY 2022 — 2023 EMPG AGREEMENT J.R. SMITH, CLERK <br />ATTACHMENT C <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY <br />EXCLUSION <br />Certification Regarding <br />Debarment, Suspension, Ineligibility <br />And Voluntary Exclusion <br />Subcontractor Covered Transactions <br />(1) The prospective subcontractor of the Sub -Recipient, , certifies, <br />by 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 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 <br />y:Signature <br />Name and Title <br />Street Address <br />City, State, Zip <br />Date <br />Sub -Recipient's Name <br />Division Contract Number <br />Project Number <br />52 <br />
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