Orange County NC Website
,~\~Q CV 1 ~'Y1~Yl'~ C 3 9 <br />CERTIFICATION <br />SPECIAL PROVISIONS <br />AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 <br />(COMPANY -MAR 2009, Rev 1) <br />saw Y-iz <br />NOTICE: By signing below, the Offeror/Sub~ntractor represents and certiftes that this certification is <br />accurate, current, and complete and that the signer is duly authorized to make such certification •on behalf of <br />the Otferor/Subcontractor. <br />1. CENTRAL GONTRACTOR REGISTRATION. <br />It ~ is, ~] is not registered in the Central Contractor Registration database. <br />2. DUNS NUMBER. {Show as if appears in CCR.) <br />Its DUNS number "ss <br />its DUNS Plus 4 number is _ _ _ _ or ~ a DUNS Plus 4 number is not applicable. <br />3. PARENT DUNS. NUMBER. <br />It ~ does, [~ does not have a parent company. <br />if it has a parent company, the parent campanys DUNS number is _ ~ _ _ _ _ _ _ _ <br />4. LEGAL BUSINESS NAME. (Show as it appears in CCR.) <br />Its legal business name by which it is incorporated and pays taxes is <br />5. DOING BUSINESS AS (DBA). (Show as if appears in CCR.) <br />It ~ commonly uses another name, ~ does not commonly use another name. <br />If it commonly uses another name, the name is <br />6. SUBCONTRACTOR'S PHYSICAL ADDRESS. (P. O. Box orc% may not be used. Show as if appears <br />in CCR.) <br />Street A~trtrpcc• <br />City: . <br />State: <br />UCN-72178 (6-09) <br />