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City of Rancho Cucamonga <br />Request for Proposals ("RFP") U19/20-007 <br />for <br />Citywide Tree Maintenance Services <br />"EXHIBIT E DEBARMENT and SUSPENSION CERTIFICATION FORM <br />I certify that neither West Coast Arborists Inc (Vendor) nor any of its proposed subcontractors are <br />not currently listed on the governmentwide exclusions in the System for Award Management (SAM), in <br />accordance with the guidelines under 2 CFR 200 that implement Executive Orders 12549 (3 CFR part 1986 <br />Comp., p. 189) and 12689 (3 CFR part 1989 Camp., p. 235), and that neither Vendor nor any of its proposed <br />subcontractors are tax delinquent with the State of California. <br />I acknowledge that if Vendors or any of its subcontractors subsequently are placed under suspension or <br />debarment by a local, state or federal government entity, or if Vendors or any of its subcontractors <br />subsequently become delinquent in California taxes, our Proposal will be disqualified. <br />Patric Mahone <br />Printed Name <br />President <br />Title <br />Date <br />Must be included in final RFP submittal. <br />Submittals Due: July 24,203.9 by 3:00 p.m. Page 39b of 43 <br />Page 217 <br />