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CS_Courthouse Square
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Miscellaneous Correspondence
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Last modified
9/19/2012 4:28:22 PM
Creation date
8/16/2011 1:46:15 PM
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Building
RecordID
10387
Title
Miscellaneous Correspondence
BLDG Date
1/1/2000
Building
Courthouse Square
BLDG Document Type
Project Coordination
Project ID
CS9801 Courthouse Square Construction
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03/15/00 08:03 FAX 588 7951 MARION CO RISK [~04 <br />Salem Area Mass Transit DistRCt/Marion County lFB 00-03 47 <br />TAB Services <br />ATTACHMENT VII <br />CERTIFICATtON REGARDtNG DEBARMENT, SUSPENSION 8. OTHER <br />INELIGIBILITY 8~ VOLUNTARY EXCLUSION <br />The undersigned, du{y authorized representative of r TE~I~ACE ~1~~~~/~~~1 //~~r <br />heteby certifies or affirms that: <br />2} Neither it nor its principals is presently debarred, suspended, p~oposed for <br />debarment, declared ineligible, or voluntarily excluded from participation in this <br />t~ansaction by any Federal department or agency; and <br />2) That the contents of any statements submitte~ on or with this certification are <br />true and accurate, and understands that the provisions of 31 U.S.C. §§ 3801 ~ <br />S~. Are applicable thereto. <br />~ <br />ll1 <br />(Signatu~e) . (Attorney's Signature) <br />D 1 i ~~ ~' U1. 2aQ. ~3 ~irt T!'t5 c~s~7" ,~ ~/~~ L~D~ <br />(Typed or Printed Title of (Date) <br />Authorized Official} <br />~~ <br />The undersigned, duly authorized representative of <br />hereby certiftes or affirms that: <br />2) 1t is unable to ce~tify that neither it nor its principats is presently debarred, <br />suspended, proposed for debarment, declared ;neligible, or voluntarily excluded <br />from participation in this transaction by any Federal department or agency, and <br />has attached an explanation of this inabiliiy to this certification; and <br />2) That the contents af any statements submitted on or with this certification are <br />tn~e and accurate, and understands that the provisions of 31 U.S.C. §§ 3801 g~. <br />~q. Are appiicable thereto. <br />(Signature} (Attorney's Signature) <br />(Typed or Printed Title of (Date) <br />Authorized Representative) <br />Attachment(s) [If required] <br />
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