Laserfiche WebLink
<br />Agreement #W7 -GJC-1 0 <br />City of Santa Ana <br /> <br />Exhibit F <br />CERTIFICATION REGARDING <br />DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION <br />LOWER TIER COVERED TRANSACTIONS <br /> <br />This certification is required by the regulations implementing Executive Order 12549, Debarment and <br />suspension, 29 CFR Part 98.510, Participants' responsibilities. The regulations were published as Part VII <br />of the May 26, 1988 Federal Reaister (pages 19160-19211) <br /> <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS FOR CERTIFICATION) <br /> <br />(1) The contractor or grant recipient of Federal assistance funds certifies, by submission of this exhibit <br />document, 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 or agency. <br /> <br />(2) Where the contractor or grant recipient of Federal assistance funds is unable to certify to any of the <br />statements in this certification, the contractor or grant recipient shall attach an explanation to this exhibit <br />document. <br /> <br />n;:::r,l'; n 1\1 'DealP <br /> <br />Name <br /> <br />a:;Ar <br />Title IJ a <br />Authorized Signature <br /> <br />W1A Cost Reimbursement Agreement - Green Jobs Corps <br /> <br />Exhibit F- Page 1 Qf 2 <br />