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Last modified
6/29/2022 4:18:06 PM
Creation date
6/29/2022 4:17:11 PM
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Contracts
Company Name
SAPD HEART
Contract #
A-2022-093-01
Agency
Community Development
Council Approval Date
5/3/2022
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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 Re ig stet (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 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 />DAV%b VAImt".l v4 I UteF C <br />Name and Title of Authorized Representative <br />Signature <br />l <br />Date <br />EXHIBIT C <br />Page 1 of 2 <br />M <br />
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