Orange County NC Website
DocuSign Envelope ID: E32719BA-2C76-4B20-A01E-5807DC7D82F5 <br /> • <br /> • 101 <br /> • <br /> CERTIFICATION REGARDING DEBARMENT,SUSPENSION AND INELIGIBILITY <br /> 1. The prospective lower tier participant($100,000 or more]certifies,by submission of this proposal, <br /> that neither it nor its principles are presently debarred,suspended,proposed for debarment,declared ineligible,or <br /> voluntarily excluded from participation In this transaction by any Federal department or agency. <br /> 2. Where the prospective lower tier participant Is unable to certify to any of the statements In this <br /> certification,such prospective participant shall attach an explanation to their proposal. <br /> • <br /> Signed: M7 Dated: VIA <br /> Typed(or Printed)Name: K.Nelson Lucius <br /> • <br /> RFP 5167—PAGE 11 OF 11 <br />