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20A - AA - SLINGSHOT INITIATIVE
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20A - AA - SLINGSHOT INITIATIVE
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Last modified
11/10/2016 3:47:23 PM
Creation date
11/10/2016 3:42:37 PM
Metadata
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
20A
Date
11/15/2016
Destruction Year
2021
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Exhibit 3 <br />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 <br />and suspension, 29 CFR Part 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 />(1) The contractor or grant recipient of Federal assistance funds certifies, by submission of this <br />exhibit document, that neither it nor its principals are presently debarred, suspended, <br />proposed for debarment, declared ineligible, or voluntarily excluded from participation in <br />this transaction by any Federal department or agency. <br />(2) Where the contractor or grant recipient of Federal assistance funds is unable to certify to <br />any of the statements in this certification, the contractor or grant recipient shall attach an <br />explanation to this exhibit document. <br />Name <br />Title <br />Authorized Signature <br />County of Orange Page 1 of 2 City of Santa Ana <br />OC Community Resources Contract # 16-28-0039-R WS -P <br />20A-50 <br />
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