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Last modified
2/20/2025 9:57:12 AM
Creation date
6/12/2023 4:45:57 PM
Metadata
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Template:
Contracts
Company Name
HEALTHSTAFF TRAINING INSTITUTE
Contract #
A-2023-069-01
Agency
Community Development
Council Approval Date
5/2/2023
Expiration Date
6/30/2027
Insurance Exp Date
2/2/2026
Destruction Year
2032
Notes
For Insurance Exp. Date see Notice of Compliance
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Certification RegarAin <br />Debarment. Suspension. Ineligibility and )(olunLary Exclusion <br />Lower Tier Covered Transactions <br />This certification is reppired by, the regulations IMplementing Executive Order 12549, Debarment and <br />Suspenslont 29011 Part 98, Section M5,10, PartWparits' Responsibilities. The regulations were <br />published as PAMVIl of the May 1E, Mff, Federal Register (Peg" 19160-19211). <br />(before ,completJngcertlffcation, read instructions which are an integral part of certification) <br />1. The prospective primary participant, (Le,grantee) certifies to the best of Its knowledge, and belief, <br />that It and its pr[ridlipair <br />a. Are not presently debarred, suspended, proposed fcirclfibarimmt, declared Ineligible, or <br />voluntarily excluded from covered #orisaotlons by any federal department or agency; <br />b, Have not within a three:year period precedirig this proposal been convicted or had a civil <br />Judgment rendered agpinstthem for comMissl000f fraud orspr1mineloffeiise In connection <br />with obtaining attempting to obtain, or performing a poblic(federal,state or [oral) transaction <br />qt contract pridero public, transaction; violation offederal or state antitrust statues or <br />commission of embezzlement, theft, forgery, bribery, falsification Ot destruction of records, <br />making.falsestatern.ents, or receiving stolen property. <br />c. Are not presently indicted for orotherwise criminally or civilly charged by a government <br />entity (federal, state or local) With COMMTS51011, Of Uhy,of the offenses enumerated In paragraph <br />(11(h) of this certification; and, <br />d. Have not withino three-year period preceding this, application/proposal had one or more <br />public transactions (federal, state or local) terminated for cause or default. <br />2, Where the prospective lyrinnary participantils unable, to cordlyto any of the statements in this <br />certificatlon, such prospective participaritshall attach an explanation to this proposal. <br />On Behalf of the Grantee <br />May 17, 2029 <br />Date <br />EXHIBIT F <br />
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