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HABITAT FOR HUMANITY
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Last modified
8/19/2024 3:47:40 PM
Creation date
7/28/2022 4:02:08 PM
Metadata
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Template:
Contracts
Company Name
HABITAT FOR HUMANITY
Contract #
A-2022-092-33
Agency
Community Development
Council Approval Date
5/3/2022
Expiration Date
6/30/2023
Insurance Exp Date
1/1/2024
Destruction Year
2028
Notes
For Insurance Exp. Date see Notice of Compliance
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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 Register (pages 1916049211). <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 />Monique Davis, President/CEO Habitat for Humanity of Orange County <br />Name and Title of Authorized Representative <br />July 25, 2022 <br />Date <br />EXHIBIT C <br />Page t of 2 <br />
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