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Last modified
6/13/2022 1:36:52 PM
Creation date
6/13/2022 1:32:03 PM
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Contracts
Company Name
BACKHAUSDANCE
Contract #
A-2022-069-03
Agency
Parks, Recreation, & Community Services
Council Approval Date
5/3/2022
Expiration Date
6/30/2023
Insurance Exp Date
6/3/2023
Destruction Year
2028
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EXHIBIT D <br />DEBARMENT <br />Certification Regarding <br />Debarment, Suspension, Ineligibility and Voluntary Exclusion <br />Lower Tier Covered Transactions <br />This certification is required by the regulations implementing Executive Order 12549, <br />Debarment and Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The <br />regulations were published as Part VII of the May 26,1988 Federal Resister (pages 19160-19211). <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR <br />CERTIFICATION - Attached) <br />(1) The prospective recipient of federal assistance funds certifies, by submission of this <br />proposal, that neither it nor its principals are presently debarred, suspended, proposed for <br />debarment, declared ineligible, or voluntarily excluded from participation in this <br />transaction by any federal department or agency. <br />(2) Where the prospective recipient of federal assistance funds is unable to certify to any of <br />the statements in this certification, such prospective participant shall attach an <br />explanation to this proposal. <br />Jennifer Backhaus, Artistic Director <br />Name and Title of Authorized Representative <br />Signature <br />March 16, 2022 <br />Date <br />29 <br />
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