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DocuSign Envelope ID:5FA4B1AC-B897-4C32-A1E4-4B4A8885A341 <br /> Certification Regarding Debarment and Suspension <br /> The Use of any Contractor that has been declared debarred by the office of Federal Contract Compliance Programs . <br /> (OFCCP)is prohibited. Further the use of subcontractor(s)that has been declared debarred by OFCCP is prohibited. A <br /> complete list of federally disbarred contractors can be found at www.sam.gov. It is the sole responsibility of the <br /> Contractor to ensure that subcontractor(s)are in good standing with the OFCCP and not on the disbarment list. <br /> The undersigned applicant certifies to the best of his or her knowledge and belief,that he applicant and its principals: <br /> (a) are not presently debarred, suspended,proposed for debarment, declared ineligible or voluntarily excluded <br /> from covered transactions by any Federal Department or agency; <br /> (b) have not within a 3-year period preceding this proposal been convicted of or had a valid judgment rendered <br /> against them for commission of fraud or a criminal offense in connection with obtaining, attempting to <br /> Obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; <br /> violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, <br /> Falsification or destruction of records,making false statements,or receiving stolen property; <br /> (c) are not presently indicted or otherwise criminally or civilly charged by a governmental entitle (Federal, <br /> State,or local)with commission of any of the offenses enumerated in paragraph(b)of this certification;and <br /> (d)-have not within a 3-year period preceding this application/proposal had one or more public transactions <br /> (Federal,State,or local)terminated for cause or default. <br /> Should the applicant not be able to provide this certification, an explanation as to why should be placed after the <br /> assurances page in the application package. <br /> The applicant agrees by submitting the proposal that it will include,without modification,the clause titled"Certification <br /> Regarding Debarment, Suspension, in eligibility, and Voluntary Exclusion-Lower Tier Covered Transactions" in all <br /> lower tier covered transactions (i.e.,transactions with sub-grantees and/or contractors) and in all solicitations for lower <br /> tier covered transactions. <br /> L (Seal i€Ceg""atm11} <br /> A' afore <br /> ohn Ramsay, President:& C E <br /> Title <br /> Date: 8113119 <br /> NOTARIZE <br /> SUBSCRIBED AND SWORN TO BEFORE ME, <br /> This 13th day of Au ust 2019 <br /> NOTARY PUB I,l <br /> � C My <br /> L- <br /> My Commission Expires: CID <br /> Disaster Debris Clearance and Removal Services <br /> Bid: 5266,Orange County,North Carolina <br /> July 29, 2019 Page 43 <br />