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75B - PH - CDBG 2016-2017
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75B - PH - CDBG 2016-2017
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Last modified
3/31/2016 4:17:52 PM
Creation date
3/31/2016 3:57:49 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
75B
Date
4/5/2016
Destruction Year
2021
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Certification Regarding <br />Debarment, Suspension, Ineligibility and Voluntary Exclusion <br />Lower Tier Covered Transactions <br />Tlvs 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 Register (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 fluids 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 />EXHIBIT C <br />Page 1 of 2 <br />75B -60 <br />
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