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10/08/2024
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10/08/2024
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Last modified
12/5/2024 10:41:14 AM
Creation date
12/5/2024 10:25:22 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
10/08/2024
Meeting Body
Board of County Commissioners
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ATTACHMENT G <br />CERTIFICATION REGARDING <br />DEBARMENT, SUSPENSION, INELIGIBILITY <br />AND VOLUNTARY EXCLUSION <br />Subcontractor Covered Transactions <br />The prospective subcontractor, , of the <br />Sub -Recipient certifies, by submission of this document, that neither it, its principals, nor its affiliates are <br />presently debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded, or <br />disqualified from participation in this transaction by any federal department or agency. <br />SUB -CONTRACTOR: <br />By: <br />Signature <br />Name and Title <br />Street Address <br />City, State, Zip <br />Date <br />Sub -Recipient's Name <br />FDEM Agreement Number <br />61 <br />106 <br />
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