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<br /> Disaster Debris Clearance and Removal Services <br />Bid: 5266, Orange County, North Carolina <br />July 29, 2019 Page 43 <br /> <br /> <br /> <br />Certification Regarding Debarment and Suspension <br /> <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 /> <br />The undersigned applicant certifies to the best of his or her knowledge and belief, that he applicant and its principals: <br /> <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 /> <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 /> <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 /> <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 /> <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 /> <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 /> <br /> <br /> ______________________________ (Seal if Corporation ) <br /> Signature <br /> ______________________________ <br /> Title <br /> Date: _________________________ <br /> <br />NOTARIZE <br />SUBSCRIBED AND SWORN TO BEFORE ME, <br />This ______ day of ________________________, 2019 <br />NOTARY PUBLIC ____________________________ <br />My Commission Expires: ________________________ <br />DocuSign Envelope ID: 5FA4B1AC-B897-4C32-A1E4-4B4A8885A341