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2024-112
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2024-112
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Last modified
6/17/2024 10:39:54 AM
Creation date
6/17/2024 10:38:28 AM
Metadata
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Template:
Official Documents
Official Document Type
Agreement
Approved Date
05/21/2024
Control Number
2024-112
Agenda Item Number
13.A.
Entity Name
Southeast Florida Behavioral Health Network, Inc.
Subject
Service Agreement for Administration of Opioid Class Action Lawsuit Settlement Fund Allocation
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Southeast Florid <br />B. Certification <br />1. The prospective provider certifies, by signing this certification, that neither he <br />nor his principals is presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from participation in this <br />contract/subcontract by any federal department or agency. <br />2. Where the prospective provider is unable to certify to any of the statements in <br />this certification, such prospective provider shall attach an explanation to this <br />certification. <br />--- DocuSigned by: <br />2246B22EFF404B2 Signature <br />Indian River County Board of <br />County Commissioners <br />Company <br />Certification Packet <br />6/12/2024 <br />Date <br />Chairman <br />Title <br />Agreement No.: AGR75 <br />Indian River County Board of <br />County Commissioners <br />
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