Laserfiche WebLink
CITY OF SANTA ANA <br />ATTACHMENT T <br />CERTIFICAT ION REGARD ING DEBARMENT <br />This certi fication is required by the reg ulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CFR Part 98, Sect ion 98.510, Participants' Responsibi l ities. The regu lations were <br />pub l ished as Part VI I of the May 16 , 1988, Federa l Register (Pages 19160-19211 ). <br />(Before completing certification, read instruct ions which are an int egra l part of cert ification) <br />·1. The prospective primary participant, (i.e. grantee) certifies to the be st of its know ledge and bel ief, that <br />it and its principa l s: <br />a. Are not prese ntly debarred , susp ended , proposed for debarment, decl ared ine ligible, or <br />vo lun tari ly excl uded from covered tr ansa ctions by any fede ral department or organization; <br />b. Have not within a three-year period preceding this proposa l been convicted or had a civil <br />judg ment rendered against th em for commission of fraud or a crimina l offense in connection with <br />obtaining, attempting to obta in , or performing a public (federa l, state or l oca l) transaction or <br />contract under a pub lic transaction ; vio lation of federa l or state antitrust statues or commission of <br />embezzlement, theft, forgery, bribery, fa l sification or destruction of records , maki ng fa lse <br />statements , or receiving sto len property. <br />c. Are not present ly indicted for or otherwise criminally or civ ill y charged by a government entity <br />(federal, state or local) with commission of any of the offenses enumerated in paragraph (1 )(b) of <br />this ce1iification; and <br />d . Have not within a three-year period preceding this application/proposal had one or more pub lic <br />transactions (federa l, state or loca l) terminated for cause or defau l t. <br />2. Wher e the prospective primary participant is unab le to certify to any of the statements in this <br />certification , such prospective part icipant sha ll attach an expl anation to this proposal. <br />Working Wardrobes for a New Start <br />Grantee/Contractor Organization <br />Bonni Pomush, Chief Executive Officer <br />Name and Title of Official Authorized to Certify <br />On Beha lf of the Grantee <br />April 1, 2025 <br />Date <br />Clly of S anla Ana RFP No. 25 -0 19A Pa ge 86 of 101 <br />EXHIBIT 2 <br />  <br />  <br />City Council 10 – 225 7/1/2025