00 45 07_Public Contractor Debarment Form.pdf

This document is a Public Contractor Debarment form issued by the City of New Bedford under Mayor Jonathan F. Mitchell. The form is a certification document that requires a contractor to affirm, under penalty of perjury, that they are not currently debarred from performing public construction work in the commonwealth of Massachusetts. The form includes provisions referencing section twenty-nine F of chapter twenty-nine of the General Laws and other applicable debarment regulations.

The form provides spaces for a contractor to complete their signature, printed name, company name, date, title, contact information (telephone, fax, email), but does not specify a specific project, contract value, or procurement details. Its primary purpose appears to be a legal attestation of a contractor's eligibility to perform public construction work, ensuring that the signatory is not prohibited from participating in public contracts due to previous violations or disciplinary actions.