Orange County NC Website
DocuSign Envelope ID:B95B2B37-A96F-476E-BOA3-471C4F5BB77D <br /> CERTIFICATION REGARDING <br /> DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION <br /> LOWER TIER COVERED TRANSACTION <br /> This Certification is required by the regulations implementing <br /> Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, <br /> Section 98-510, Participants, responsibilities . The regulations <br /> were published as Part VII of the May 26, 1989 Federal Register <br /> (pages 19160-19211) . <br /> (BEFORE COMPLETING CERTIFICATION, READ ATTACHED INSTRUCTIONS <br /> WHICH ARE IN INTEGRAL PART OF THE CERTIFICATION) <br /> (1) The prospective recipient of Federal assistance funds <br /> certifies, by submission of this proposal, that neither it <br /> nor its principals are presently debarred, suspended, <br /> proposed for debarment, declared ineligible, or voluntarily <br /> excluded from participation in this transaction by any <br /> Federal department or agency. <br /> (2) Where the prospective recipient of Federal assistance <br /> funds is unable to certify to any of the statements in <br /> this certification, such prospective participant shall <br /> attach an explanation to this proposal . <br /> • <br /> 2L941.easc--, <br /> SIGNATURE AND TITLE OF AUTHORIZED REPRESENTATIVE. <br /> Local Workforce Area Contract Agreement Page 25 of 28 <br /> Amended 6/12 <br />