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AG 2014 06 16
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AG 2014 06 16
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Last modified
6/18/2014 9:32:09 AM
Creation date
11/27/2017 10:47:36 AM
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Template:
Meeting Minutes
Doc Type
Agenda
Meeting Minutes - Date
6/16/2014
Board
Board of Commissioners
Meeting Type
Regular
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Appendix B: Certification of Primary Participants Regarding Debarment, Suspension, and Other <br />Responsibility Matters <br />CERTIFICATION REGARDING DEBARMENT, SUSPENSION, <br />INELIGIBILITY and VOLUNTARY EXCLUSION LOWER <br />TIER COVERED TRANSACTION <br />(To be submitted with all bids/proposals or offers exceeding $25,000.) <br />(1 ) The prospective lower tier participant (Bidder/Contractor) certifies, by submission of this bid or proposal, <br />that neither it nor its principals is 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) The prospective Bidder/Contractor also certifies by submission of this bid or proposal that all <br />Subcontractors and Suppliers (this requirement flows down to all subcontracts at all levels) are not presently <br />debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from <br />participation in this transaction by any Federal department or agency, <br />(3) Where the prospective lower tier participant (Bidder/Contractor) is unable to certify to any of the statements <br />in this certification, Such prospective participant shall attach an explanation to this bid or pjgposal. <br />The lower tier participant (Bidder/Contractor), GRANTS SERVICE LLC — certifies or affirms the <br />truthfulness and accuracy of this statement of its certification and disclosure, if any. <br />DATE APRIL 9, 2014 <br />SIGNATURE GCS <br />COMPANY GRANTS SERVICE LLC <br />NAME Angela Grant <br />TITLE Owner/Member <br />HIS BID IS NOT TO EXCEED $25,000.00 <br />State of <br />County of <br />Subscribed and sworn to before me this day of 1 20 <br />Notary Public <br />My Appointment Expires <br />23 <br />Attachment number 2 <br />F-5 Page 224 <br />
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