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Item 12 - Youth Workforce Services under the Workforce Innovation and Opportunity Act
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Item 12 - Youth Workforce Services under the Workforce Innovation and Opportunity Act
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8/1/2024 11:35:57 AM
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City Clerk
Doc Type
Agenda Packet
Agency
Community Development
Item #
12
Date
8/6/2024
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EXHIBIT 1 <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, as amended <br />Nonprocurement, Debarment and Suspension, 2 CFR Part 2998, Subpart C, Responsibilities of <br />Participants Regarding Transactions. The regulations were published as Part VII of the May 26, 1988, <br />Federal Register, Vol. 53, No. 102 (Pages 19160-19211), and subsequently amended in 81 Federal <br />Register 25585. <br />(Before completing certification, read instructions which are an integral part of certification) <br />1. The prospective primary participant, (i.e. grantee) certifies to the best of its knowledge and belief, <br />that it and its principals: <br />a. Are not presently excluded or disqualified; <br />b. Have not been convicted within the preceding three years of any of the offenses listed in 2 <br />CFR 180.800(a) convicted or had a civil judgment rendered against them for one of those <br />offenses within that time period. <br />c. Are not presently indicted for or otherwise criminally or civilly charged by a government <br />entity (Federal, State or local) with commission of any of the offenses listed in 2 CFR 180.800(a); <br />and <br />d. Have not had one or more public transactions (Federal, State or local) terminated within the <br />preceding three years for cause or default. <br />2. Where the prospective primary participant is unable to certify to any of the statements in this <br />certification, such prospective participant shall attach an explanation to this proposal. <br />Orange County Children's Therapeutic Art Center <br />Grantee/Contractor Organization <br />Dr. Ana Jimenez-Hami, Executive Director <br />Name and Title of Official Authorized to Certify <br />On Behalf of the Grantee <br />-1 1-1 , 'Lc7Z. y <br />Date <br />EXHIBIT G <br />
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