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FULL PACKET_2012-08-20
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FULL PACKET_2012-08-20
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10/1/2012 1:20:58 PM
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8/16/2012 5:15:55 PM
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City Clerk
Agency
Clerk of the Council
Date
8/1/2012
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CERTIFICATION REGARDING <br />DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION <br />LOWER TIER COVERED TRANSACTION <br />This certification is required by the regulations implementing Executive Order, <br />12549, Debarment and Suspension, 29 CFR Part 98, Section 98.510, <br />Participants' responsibilities. The regulations were published as Part VII of the <br />May 26, 1988, Federal Register (Pages 19160-19211). <br />(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS WHICH <br />ARE AN INTEGRAL PART OF THE CERTIFICATION.) <br />The prospective recipient of Federal assistance funds certifies, by <br />submission of this proposal, that neither it nor its principals are presently <br />debarred, suspended, proposed for debarment, declared ineligible, or <br />voluntarily excluded from participation in this transaction by any Federal <br />department or agency. <br />2. Where the prospective recipient of Federal assistance funds is unable to <br />certify to any of the statements in this certification, such prospective <br />participant shall attach an explanation to this proposal. <br />Nancy T. Edwards, Interim Executive Director <br />Name and Title of Authorized Representative <br />Signature <br />FD118 (Rev. 9/22/04) <br />Data <br />App-ROVED AS TO V0111 <br />LISA E. S70RCK <br />Assistant City Attorney <br />25J-9
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