1-Debarment Certification.pdf
PDF 280 KB Posted
- Attached to
- Facility Security Equipment Upgrade State and local contract opportunity
- Solicitation number
- FY26-RFP-004
- Issued by
- Illinois
About this file
This document is a Certification of Contractor Regarding Debarment, Suspension, and Other Responsibility Matters form from Connect Transit, located at 351 Wylie Drive, Normal, IL 61761. The form requires a bidder or proposer to certify their legal and ethical standing by confirming they are not currently debarred, suspended, or excluded from public transactions, have not been convicted of fraud or criminal offenses related to public contracts within the past three years, are not currently indicted for governmental offenses, and have not had public transactions terminated for cause or default within the past three years.
The form is designed to ensure contractor responsibility and integrity, with provisions for the authorized official to sign and have the document notarized. If a bidder cannot certify to any of the statements, they are required to attach an explanation. The document includes references to 31 U.S.C. Sections 3801 et seq. and provides space for the authorized official's details, signature, date, and notary public information. The form is part of Connect Transit's procurement process and appears to be a standard legal compliance document used to validate a contractor's eligibility for public sector contracts.
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| 7-Subcontractor Debarment Certification.pdf | ||
| 9-Certification of Restrictions on Lobbying.pdf | ||
| 11-Conflict of Interest Certification.docx | DOCX document | |
| 13-FY26-RFP-004 Terms and Conditions.pdf | ||
| 14-FY26-RFP-004 Cost Proposal.xlsx | XLSX spreadsheet | |
| 15-FY26-RFP-004 Solicitation FINAL.pdf | ||
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| 4-Subcontractor Supplier Report.pdf | ||
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Text version
CERTIFICATION OF CONTRACTOR REGARDING DEBARMENT, SUSPENSION,
AND OTHER RESPONSIBILITY MATTERS
The undersigned, an official of the Bidder/Proposer stated below, certifies to the best of its knowledge and belief, that if and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;
2. Have not within a three-year period preceding this bid/proposal been convicted of or had a civil judgement 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;
3. 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 (1)(b) of this certification; and
4. Have not within a three-year period preceding this bid/proposal had one or more public transactions (federal, state, or local) terminated for cause or default.
(If the undersigned is unable to certify to any of the statements in this certification, such official shall attach an explanation to this bid/proposal)
THE UNDERSIGNED CERTIFIES OR AFFIRMS THE TRUTHFULNESS AND ACCURACY OF THE CONTENTS OF THE STATEMENTS SUBMITTED ON OR WITH THIS CERTIFICATION AND UNDERSTANDS THAT THE PROVISIONS OF 31 U.S.C. SECTIONS 3801 ET SEQ. ARE APPLICABLE
THERETO.
AUTHORIZED OFFICIAL: _______________________________________________
TITLE: _______________________________________________
FIRM NAME: _______________________________________________
SIGNATURE: _______________________________________________
DATE: _______________________________________________
State of _______________________________________________
County of _______________________________________________
Sworn to and subscribed before me by_________________________ on this ______ day of_______________________, 20 ____.
NOTARY PUBLIC: _______________________________________________
COMMISSION EXPIRATION: _______________________________________________
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