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2013-016 Housing - NC Department of Health & Human Services for Emergency Shelter Solutions Grant $121,000
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2013-016 Housing - NC Department of Health & Human Services for Emergency Shelter Solutions Grant $121,000
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2/1/2013 9:48:38 AM
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BOCC
Date
1/24/2013
Meeting Type
Regular Meeting
Document Type
Contract
Agenda Item
5m
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R 2013-016 Housing - NC Department of Health and Human Services $121,000
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\Board of County Commissioners\Contracts and Agreements\Contract Routing Sheets\Routing Sheets\2013
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Contract Number 00027858 / Page 32 of 33 <br /> Contractor Certifications Required by North Carolina Law <br /> Instructions <br /> The person who signs this document should read the text of the statutes cited herein and consult with counsel <br /> and other knowledgeable persons before signing. The text of G..S.. 143 -59..1 can be found online at: <br /> http: / /www.ncea. state. nc. us/ FnactedLe. islation /Statutes/PDFBySection/ChUter 143/GS 143- 59.1.pdf <br /> The text of G.S.. 143 -59.2 can be found online at: <br /> htip: / /www.ncga. state. nc. us/ EnactedLeg islation /Statutes/PDFBySection/Chapter 143/GS 143 -59.2. coif <br /> The text of G..S 105- 164..8(b) can be found online at: <br /> http: / /www.ncea. state. nc. us/ EnactedLe= islation /Statutes/PDFBySection/Chapter 105 /GS 105- 164.3.pdf <br /> Certifications <br /> (1) Pursuant to G.S. 143- 591(b), the undersigned hereby certifies that the Contractor named below is not <br /> an "ineligible Contractor" as set forth in G.S.. 143- 59..l(a) because: <br /> (a) Neither the Contractor nor any of its affiliates has refused to collect the use tax levied under <br /> Article 5 of Chapter 105 of the General Statutes on its sales delivered to North Carolina when the <br /> sales met one or more of the conditions of G.S. 105- 164.8(b); and <br /> (b) [check one of the following boxes] <br /> ® Neither the Contractor nor any of its affiliates has incorporated or reincorporated in a "tax <br /> haven country" as set forth in G.S., 143- 59..1(c)(2) after December 31, 2001; or <br /> ❑ The Contractor or one of its affiliates has incorporated or reincorporated in a "tax haven <br /> country" as set forth in G.,S. 143- 59..1(c)(2) after December 31, 2001 but the United <br /> States is not the principal market for the public trading of the stock of the corporation <br /> incorporated in the tax haven country. <br /> (2) Pursuant to G.S. 143- 59.2(b), the undersigned hereby certifies that none of the Contractor's officers, <br /> directors, or owners (if the Contractor- is an unincorporated business entity) has been convicted of any <br /> violation of Chapter 78A of the. General Statutes or the Securities Act of 1933 or the Securities <br /> Exchange Act of 1934 within 10 years immediately prior to the date of the bid solicitation. <br /> (3) The Contractor shall require its subcontractors, if any, to make the same certifications before they <br /> perform any work under the contract. <br /> (4) The undersigned hereby certifies further that: <br /> (a) He or she is a duly authorized representative of the Contractor named below; <br /> (b) He or she is authorized to make, and does hereby make, the foregoing certifications on behalf of <br /> the Contractor; and <br /> Page 1 of 2 <br />
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