00 45 07_Public Contractor Debarment Form.pdf

PDF 144 KB Posted

Attached to
WWTP Improvements Alkalinity Addition & Instrumentation and Controls- FSB
Solicitation number
25439137-FSB
Issued by
Bristol County, New Bedford City, Massachusetts

About this file

The document is a Public Contractor Debarment form issued by the City of New Bedford, Massachusetts, under Mayor Jonathan F. Mitchell. This form is part of the procurement process for the Wastewater Treatment Plant (WWTP) Improvements project, specifically Contract 2 Alkalinity Addition and Contract 3 Instrumentation and Controls. The project requires sub-bids in eight categories including Masonry Work, Miscellaneous and Ornamental Iron, Waterproofing, Roofing, Painting, Plumbing, HVAC, and Electrical Work.

The debarment form certifies that the contractor is not currently prohibited from performing public construction work in the commonwealth under Massachusetts General Laws. By signing the document, the contractor affirms their eligibility to bid on and execute public works projects. The form requires the contractor to provide their authorized signature, printed name, company name, contact information, and date of certification, serving as a legal declaration of the contractor's good standing for public contract opportunities.

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Text version

City of New Bedford Mayor Jonathan F. Mitchell

PUBLIC CONTRACTOR DEBARMENT

The undersigned certifies under penalty of perjury that the below named contractor is not presently debarred from doing public construction work in the commonwealth under the provisions of section twenty-nine F of chapter twenty-nine, or any other applicable debarment provisions of any other chapter of the General Laws or any rule or regulation promulgated thereunder.

Contractor Authorized Signature

Printed Name

Date

Title_______________________ Telephone:_________________

Fax:________________________ Email:____________________

Company Name

La st

M od ifi ed

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M E

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Design Section 00 45 07

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