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GVL26649-0 Kittitas County Health Department - unsigned
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2021-11-16 10:00 AM - Commissioners' Agenda
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GVL26649-0 Kittitas County Health Department - unsigned
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Last modified
11/10/2021 12:38:48 PM
Creation date
11/10/2021 12:37:17 PM
Metadata
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Template:
Meeting
Date
11/16/2021
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Alpha Order
h
Item
Request to Approve a Resolution Authorizing an Interlocal Agreement between the Kittitas County Public Health Department and the Washington State Department of Health
Order
8
Placement
Consent Agenda
Row ID
83265
Type
Resolution
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ATTACHMENT 1 <br />DOH Contract GVL26649-0 Page 22 of 27 <br />Revision October 2021 <br /> <br />H. Nothing contained in the foregoing shall be construed to require establishment of a system of <br />records in order to render in good faith the certification required by this clause. The knowledge <br />and information of a participant is not required to exceed that which is normally possessed by <br />a prudent person in the ordinary course of business dealings. <br /> <br />I. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a <br />covered transaction knowingly enters into a lower tier covered transaction with a person who <br />is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, <br />in addition to other remedies available to the Federal Government, DOH may terminate this <br />transaction for cause or default. <br /> <br />7. CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER <br />RESPONSIBILITY MATTERS - PRIMARY COVERED TRANSACTIONS <br /> <br />A. The prospective contractor certifies to the best of its knowledge and belief, that it and its <br />principals: <br /> <br />1) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or <br />voluntarily excluded from covered transactions by any Federal department or agency; <br /> <br />2) Have not within a three-year period preceding this contract been convicted of or had a civil <br />judgment rendered against them for commission of fraud or a criminal offense in <br />connection with obtaining, attempting to obtain, or performing a public (Federal, State or <br />local) transaction or contract under a public transaction; violation of Federal or State <br />antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or <br />destruction of records, making false statements, or receiving stolen property; <br /> <br />3) Are not presently indicted for or otherwise criminally or civilly charged by a governmental <br />entity (Federal, State or local) with commission of any of the offenses enumerated in <br />paragraph 1. B. of this certification; and <br /> <br />4) Have not within a three-year period preceding this contract had one or more public <br />transactions (Federal, State or local) terminated for cause or default. <br /> <br />B. Where the prospective contractor is unable to certify to any of the statements in this <br />certification, such prospective contractor shall attach an explanation to this contract. <br /> <br />CONTRACTOR’S SIGNATURE IS REQUIRED <br /> <br />SIGNATURE OF AUTHORIZED CERTIFYING OFFICIAL <br /> <br />{{Sig_es_:signer1:signature}} <br />TITLE <br /> <br />{{*Ttl_es_:signer1:title}} <br />ORGANIZATION NAME: (if applicable) <br /> <br />{{Cmpy_es_:signer1:company}} <br />DATE <br /> <br />{{Dte_es_:signer1:date}} <br />
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