Orange County NC Website
CERTIFICATION <br />SPECIAL PROVISIONS <br />AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009 <br />(COMPANY – MAR 2009, Rev 1) <br />B&W Y -12 <br />NOTICE: By signing below, the Offeror /Subcontractor represents and certifies 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 Offeror /Subcontractor. <br />1. CENTRAL CONTRACTOR REGISTRATION. <br />It El is, E] is not registered in the Central Contractor Registration database. <br />2. DUNS NUMBER. (Show as it appears in CCR.) <br />Its DUNS number is ________— <br />Its DUNS Plus 4 number is _ _ _ _ or ❑ a DUNS Plus 4 number is not applicable. <br />3. PARENT DUNS NUMBER. <br />It 0 does, ❑ does not have a parent company. <br />If it has a parent company, the parent company's 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 it appears in CCR.) <br />It ❑ commonly uses another name, n 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 or c% may not be used. Show as it appears <br />in CCR.) <br />Street Aridracc• <br />City: . <br />State: <br />UCN- 22179(6 -09) <br />