00 45 07_Public Contractor Debarment Form.pdf

PDF 144 KB Posted

Attached to
Campbell Elementary School Ceilings and Lighting-Rebid GC
Solicitation number
25300105R-GC
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's administration. This form is specifically associated with the Campbell Elementary School Ceilings and Lighting-Rebid General Contractor project, which requires a DCAMM Prime General Contractor certified in Electrical and DCAMM Filed Sub-Bidders certified in Acoustical Tile Ceilings. The project is located at 145 Essex Street in New Bedford, with an estimated budget of $500,000.00 and a projected substantial completion date of August 28, 2025.

The form requires the contractor to certify under penalty of perjury that they are not currently debarred from performing public construction work in the commonwealth, in compliance with section twenty-nine F of chapter twenty-nine and other applicable debarment provisions of Massachusetts General Laws. The document provides spaces for the contractor's authorized signature, printed name, company name, contact information, and date, allowing for formal documentation of the contractor's eligibility to bid on and potentially execute the public construction project.

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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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