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DocuSign Envelope ID: BF09ME9-7297-41B22-8360-A1 E6C073ECAF <br /> ATTACHMENT E- ]RAN DIVESTMENT ACT CERTIFICATION <br /> Required By N.C.G.S. <br /> 143C-6A-5(a) <br /> Name of Contractor,Vendor or Bidder. <br /> As of the date listed beknv,,the contractor,vendor or bidder listed above,and all subcontractors <br /> utilized by the contractor,vendor or bidder listed above,is not listed on the Final Divestment List <br /> created by the State Treasurer pursuant to N-C.G.S. 143-6A-4. <br /> The undersigned hereby certifies that he or she is artthorized by the contractor,vendor or bidder <br /> listed above to make fore going statement. <br /> 0`f/b I J--*o►'9 <br /> Signature Date <br /> Printed Name Title <br /> Ivales to pa-sorts Signing this fvnlr: <br /> N.C.G.S. 143C-6A-5(a)requires this certification for bids or contracts with the State of North <br /> Carolina,a North Carolina local government,or any other political subdivision of the State of North <br /> Carolina.The certification is required at the following tines: <br /> El When a bid is submitted <br /> • When a contract is entered into(if the certification was not already made when the vendor <br /> made its bid) <br /> • When a contract is renewed or assigned <br /> N.C.G.S. 143C_-6A-5(b)requires that contractors with the State,a North Carolina local government, <br /> or any other political subdivision of the State of North Carolina must not utilize any subcontractor <br /> found on the State Treasurer's Final Divestment List.The State Treasurer's Final Divestment List <br /> can be found on the State Treasurer's website at the address www.netreasurer.comilran and will be <br /> undated every 180 days. <br /> *""Contractor,Vendor or Bidder—Return This form With All other Required Documentation'" <br /> RFP No.5259 <br />