00640_Certificate_Regarding_Debarment_.pdf
PDF 76 KB Posted
- Attached to
- Fountain Center Roof Rehabilitation
- Solicitation number
- 2026-009
- Issued by
- Hidalgo County, Texas
About this file
This is a Certificate Regarding Debarment, Suspension and Other Responsibility Matters for the City of Edinburg, Texas, required as part of the bidding process for the Fountain Center Roof Rehabilitation project. The certificate serves as a formal certification by prospective contractors that they and their principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal, State, or local department or agency. Contractors must also certify that within the three-year period preceding the proposal, they have not been convicted of or had a civil judgment rendered against them for fraud or criminal offenses related to public transactions, including violations of antitrust statutes, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property. Additionally, contractors must confirm they are not presently indicted or criminally or civilly charged with any such offenses and have not had any public transactions terminated for cause or default within the preceding three-year period.
Contractors must sign and submit this certification with their proposal, acknowledging that false statements may result in proposal rejection or award termination. Under 18 USC Section 1001, false certification may result in criminal penalties including fines up to $10,000 and imprisonment for up to five years. Contractors unable to certify all statements must provide written explanation with their submission. This document is a mandatory compliance requirement for all bidders on the Fountain Center Roof Rehabilitation project and establishes baseline eligibility and responsibility standards for contractor participation.
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Text version
CERTIFICATE REGARDING DEPARMENT,
CITY OF EDINBURG SUSPENSION AND OTHER RESPONSIBILITY MATTERS
Document 00640
CERTIFICATION REGARDING DEPARMENT,
SUSPENSION AND OTHER RESPONSIBILITY MATTERS
The prospective participant certifies to the best of its knowledge and belief that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal, State, or local department or agency;
(b) Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction: violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity
(Federal, State, or local) with commission of any of the offenses enumerated in paragraph (b) of this certification; and
(d) Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or local) terminated for cause or default.
I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award. In addition, under 18 USC Section 1001, a false statement may result in a fine of up to $10,000 or imprisonment for up to 5 years, or both.
[Typed Name of Company:]
[Typed Name & Title of Authorized Representative]
[Signature of Authorized Representative] [Date]
If unable certify the above statements, explanation is attached.
END OF DOCUMENT
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