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Agenda Packet_2024-02-20
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Agenda Packet_2024-02-20
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2/20/2024 8:57:23 AM
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City Clerk
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Agenda Packet
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2/20/2024
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EXHIBIT 1 <br />STATE OF CAUFORNIA DEPARTMENT OF GENERAL SERVICES <br />FEDERAL DEBARMENT CERTIFICATION FORM PROCUREMENT DIVISION <br />DGS PR 2 (Rev,12119) <br />Certification regarding Debarment, Suspension, Ineligibility <br />and Voluntary Exclusion Lower Tier Covered Transactions <br />This certification is required by the regulations implementing Executive Order 12549, Debarment and <br />Suspension, 29 CPR Part 98, Section 98.610, Participants responsibilities. The regulations were <br />published as Part VII of the May 26, 1989 Federal Register (pages 19160-19211). <br />(BEFORE COMPLETING CERTIFICATION, READ THE INSTRUCTIONS ON THE NEXT PAGE <br />WHICH ARE AN INTEGRAL PART OF THE CERTIFICATION) <br />1. The prospective recipient of Federal assistance funds certifies, by submission of this IFB/RFP <br />Response, that neither it nor its principals are presently debarred, suspended, proposed For <br />debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any <br />Federal department oragency. <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 />IFB/RFP Response. <br />Name and Title of Authorized Representative <br />W—chael Garcia Xe-du i— <br />Signature <br />)mmun <br />bate <br />Page 7 of 2 <br />evelopment Agency <br />City Council 21 — 34 2/20/2024 <br />
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