1-G. CERTIFICATION REGARDING DEBARMENT.pdf
PDF 124 KB Posted
- Attached to
- Automatic Lighting Controls State and local contract opportunity
- Solicitation number
- 269-2026-144
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters for Project 269.2026.144, applicable to bidders, contractors, and subcontractors. The certification requires entities to disclose and certify their legal and ethical standing in public transactions, specifically addressing their status with federal and state agencies in the United States.
The certification mandates that the bidding entity and its principals (officers, directors, managers, and those with over 10% equity interest) confirm they are not currently debarred, suspended, or excluded from public transactions. They must also affirm that within the past three years, they have not been convicted of fraud, criminal offenses, anti-trust violations, embezzlement, theft, forgery, bribery, or other specified misconduct related to public contracts. The document provides a formal mechanism for potential contractors to declare their compliance, with an option to attach an explanation if they cannot fully certify their standing.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 2-I. CBI FORM 3.pdf | ||
| 7-A. Bonfire Instructions Procurement Portal FINAL (3).pdf | ||
| 11-F. Price Schedule.xlsx | XLSX spreadsheet | |
| 5-J. EXCEPTIONS FORM.pdf | ||
| 13-B. RFP.pdf | ||
| 3-H. BYRD ANTI-LOBBYING CERTIFICATION.pdf | ||
| 6-L. Staffing.pdf | ||
| 8-C. Sample Services Contract.pdf | ||
| 9-K. License Information.pdf | ||
| 10-M. Background Response.pdf | ||
| 12-D. Proposal Submission Form.pdf | ||
| 4-E. References Form.pdf |
Show all 12
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Text version
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY
MATTERS
Project 269.2026.144
The bidder, contractor, or subcontractor, as appropriate, certifies to the best of its knowledge and belief that neither it nor any of its officers, directors, or managers who will be working under the Contract, or persons or entities holding a greater than (ten percent) 10% equity interest in it (collectively “Principals”):
1. Are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal or state department or agency in the United States;
2. Have 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 anti-trust or procurement statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
3. Are 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 2 of this certification; and
4. Have 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 or in some instances, criminal prosecution.
� I hereby certify as stated above:
(Print Name) Signature
Title Date
� I am unable to certify to one or more the above statements. Attached is my explanation. [Check box if applicable]
(Print Name) Signature
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS
File details come from the government source that posted it. Updated .