00 45 07_Public Contractor Debarment Form.pdf
PDF 144 KB Posted
- 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
: 0 9/
/2 at
:0 7A
M E
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