03.06_Federal_Debarment_Certification.docx

DOCX document 35 KB Posted

Attached to
26-014QP-FHWA AAC East Marginal Way Construction Management Services (FHWA)
Solicitation number
26-014QP
Issued by
King County, Washington

About this file

This is a Federal Debarment Certification document issued by the Seattle Department of Transportation (SDOT) Consultant Contracts Unit for the 26-014QP-FHWA AAC East Marginal Way Construction Management Services contract in Washington State. The certification requires the prospective consultant to confirm that it and its principals are not debarred, suspended, proposed for debarment, or voluntarily excluded from covered federal transactions. The consultant must also certify that within the three-year period preceding the proposal, it has not been convicted of or had civil judgment rendered against it for fraud, criminal offenses related to public transactions, violations of antitrust statutes, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property. Additionally, the consultant must confirm it is not presently indicted or criminally or civilly charged by any governmental entity for commission of these offenses and has not had one or more public transactions terminated for cause or default within the three-year period preceding the application.

The certification form requires the consultant firm's authorized official to sign and date the document, affirming compliance with all stated conditions. The document was revised in September 2014 and serves as a prerequisite certification for participation in the SDOT construction management services procurement, which involves staffing requirements including one full-time Resident Engineer, two full-time Construction Inspectors, and supporting personnel for an estimated $11 million construction contract with anticipated work from February 2027 through July 2028, contingent upon receipt of federal funding.

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Text version

SDOT, Consultant Contracts Unit Certification Regarding Debarment, Suspension and Other Responsibility Matters

I. The prospective primary 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 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 or 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 statues 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 governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (I) (B) of this certification; and

D. Have not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default.

II. Where the prospective primary participant is unable to certify to any of the statement

Consultant (Firm):

(Date) (Signature) President or Authorized Official of Consultant

Revised: September 2014 Certification of Debarment image1.png

File details come from the government source that posted it. Updated .