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EXHIBIT C <br />FORM OF NON-DEBARMENT CERTIFICATE <br />The undersigned, on behalf of the CITY OF NORTH MIAMI BEACH, hereby certifies <br />that the CITY OF NORTH MIAMI BEACH has fully complied with its verification obligations <br />under 2 C.F.R. § 180.320 and hereby further confirms, based on such verification, that, to its <br />knowledge, the Borrower and its principals (as defined in 2 C.F.R. § 180.995 and supplemented <br />by 2 C.F.R. § 1532.995): <br />(a)Are not presently debarred, suspended, proposed for debarment, declared <br />ineligible, or voluntarily excluded by any federal department or agency; <br />(b)Have not within a three (3) year period preceding the Effective Date been convicted <br />of or had a civil 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 local) <br />transaction or contract under a public transaction; violation of federal or state antitrust statutes or <br />commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, <br />making false statements, or receiving stolen property; <br />(c)Are not presently indicted for or otherwise criminally or civilly charged by a <br />governmental entity (federal, state or local) with commission of any of the offenses enumerated in <br />paragraph (b) of this certification; and <br />(d)Have not within a three (3) year period preceding the Effective Date had one or <br />more public transactions (federal, state or local) terminated for cause or default. <br />Dated: _________________ <br />CITY OF NORTH MIAMI BEACH, <br />by its authorized representative <br />By: _______________________________________ <br />Name: <br />Title: <br />EXHIBIT C-1 <br /> <br />