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LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA
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Last modified
3/26/2024 11:24:22 AM
Creation date
8/19/2021 5:20:20 PM
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Contracts
Company Name
LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA
Contract #
A-2021-107-01
Agency
Community Development
Council Approval Date
7/6/2021
Expiration Date
3/31/2022
Destruction Year
2028
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EXHIBIT E <br />DEBARMENT <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 and <br />Suspension, 29 CFR Part 98, Section 98.510, Participants' responsibilities. The regulations were <br />published 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, <br />that neither it nor its principals are presently debarred, suspended, proposed for debarment, <br />declared ineligible, or voluntarily excluded from participation in this transaction by any <br />federal department or 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 />�6ir. LR .��r /F2N �A 1 ..c.k....J t'�1... j r srda.�7y G'A, , i✓x¢c�7`r �e C7�Fceh <br />Name and Titl"f Authorized Renresentative <br />Date <br />23 <br />rij j-11 <br />
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