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Southeast FloN hdadCNAY <br />Certification Regarding Eligibility to Contract <br />A. The Managing Entity shall not subcontract for Behavioral Health Services with any <br />person or entity which: <br />1. Is barred, suspended, or otherwise prohibited from doing business with any <br />government entity, or has been barred, suspended, or otherwise prohibited from <br />doing business with any government entity in accordance with s. 287.133, F.S.; <br />2. Is under investigation or indictment for criminal conduct, or has been convicted of <br />any crime which would adversely reflect on its ability to provide services, or which <br />adversely reflects its ability to properly handle public funds; <br />3. Has had a contract terminated by the Department for failure to satisfactorily <br />perform or for cause; <br />4. Has failed to implement a corrective action plan approved by the Department or <br />any other governmental entity, after having received due notice; or <br />5. Is ineligible for contracting pursuant to the standards in s. 215.473(2), F.S. <br />B. Regardless of the amount of the subcontract, the Managing Entity shall immediately <br />terminate the subcontract for cause, if at any time during the lifetime of the <br />subcontract, the Provider is: <br />1. Found to have submitted;a false certification under s. 287.135, F.S., or <br />2. Is placed on the Scrutinized Companies with Activities in Sudan List or <br />3. is placed on the Scrutinized Companies with Activities in the Iran Petroleum <br />Energy Sector List, or <br />4. Is placed on the Scru ' ed Companies that Boycott Israel List or is engaged in a <br />boycott of el. <br />C. The undersigned "'"' Meir agency is qualified and eligible to enter into or maintain <br />a contract with the aging Entity and none of the criteria listed for disqualification <br />or termination have been met: <br />Signature <br />Name of Authorized Individual <br />Certification Packet 1 <br />Date <br />AG R75 <br />Application or Contract <br />Number <br />Agreement No.: AGR75 <br />Indian River County Board of <br />County Commissioners <br />142 <br />