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, issued in connection with RFP No. 2026-009 for the Fountain Center Roof Rehabilitation project. The certificate requires prospective bidders to certify that they and their principals 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. Bidders 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, violations of antitrust statutes, or crimes including embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. Additionally, bidders must confirm they are not presently indicted or criminally or civilly charged with any enumerated offenses and have not had one or more public transactions terminated for cause or default within the three-year preceding period. The certificate must be signed by an authorized representative and dated by the prospective bidder.
False statements on this certification may result in rejection of the proposal or termination of the award. Under 18 USC Section 1001, false statements may result in criminal penalties including a fine of up to $10,000 or imprisonment for up to five years, or both. This certification is a standard compliance requirement for all bidders participating in the federally funded CDBG-financed roof rehabilitation project at the Fountain Center, with proposals due electronically or in hard copy by April 7, 2026, at 3:00 PM.
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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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