My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
OH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY - 2011
Clerk
>
Contracts / Agreements
>
O
>
OH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY - 2011
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/3/2012 2:25:13 PM
Creation date
6/17/2011 8:39:51 AM
Metadata
Fields
Template:
Contracts
Company Name
OH INSURANCE AGENCY/ALLSTATE INSURANCE AGENCY
Contract #
N-2011-074
Agency
COMMUNITY DEVELOPMENT
Expiration Date
9/30/2011
Insurance Exp Date
6/16/2011
Destruction Year
2016
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
22
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
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 Reeister (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 aze presently debarred, suspended, proposed for debarment, declazed <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 />Janet Oh/ Executive Manager <br />Name and Title of Authorized Representative <br />Date <br />EXHIBIT E
The URL can be used to link to this page
Your browser does not support the video tag.