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211 ORANGE COUNTY (4)
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211 ORANGE COUNTY (4)
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Last modified
8/8/2024 1:26:36 PM
Creation date
7/13/2023 4:40:52 PM
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Contracts
Company Name
211 ORANGE COUNTY
Contract #
A-2023-083-05
Agency
Community Development
Council Approval Date
5/2/2023
Insurance Exp Date
2/1/2024
Destruction Year
2029
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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, Debarment and <br />Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were published <br />as Part VII of the May 26,1988 Federal Repiste (pages 19160-19211). <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION - <br />Attached) <br />(1) The prospective recipient of federal assistance funds certifies, by submission of this proposal, that <br />neither it nor its principals are presently debarred, suspended, proposed for debarment, declared <br />ineligible, or voluntarily excluded from participation in this transaction by any federal department or <br />agency. <br />(2) Where the prospective recipient of federal assistance funds is unable to certify to any of the <br />statements in this certification, such prospective participant shall attach an explanation to this <br />proposal. <br />Name and Title of Authorized Representative <br />Signature Date <br />Digitally signed by Karen <br />B Williams <br />Ka re- DN: cn=Karen B Williams, <br />o= - -1 Orange County, <br />ou=CEO, <br />Williams email=kwilliams@211oc. <br />org, c=US <br />Date: 2023.06.29 <br />18:25:02-07'00' <br />EXHIBIT C <br />Page 1 of 2 <br />
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