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Last modified
3/26/2024 9:11:51 AM
Creation date
7/14/2021 9:10:41 AM
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Contracts
Company Name
HABITAT FOR HUMANITY OF OC
Contract #
A-2021-068-08
Agency
Community Development
Council Approval Date
5/4/2021
Destruction Year
2027
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Certification Revardine <br />Debarment. Suspension, Ineligibility and VoluntaryExclusion <br />Lou er Tier C'o%cred Transactions <br />This certification is required by the regulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CFR Pail 98, Section 95.510. Participants' responsibilities. The regulations were published <br />as Part VII of the May'_6. 191g Federal Reeister ( pages 19160-19211). <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS POR CERTIFICATION <br />Attached) <br />(1) The prospective recipient of rederal 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 voluntarity 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 arty of the <br />statements in this certification, such prospective participant shall attach an explanation to this <br />proposal. <br />nflcie.tQQ <br />tCs1 <br />Name and Title of Authorized Representative <br />Date <br />EXHIBIT C <br />Page 1 of 2 <br />
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