10-09-RRSegD-DebarmentCert.pdf
PDF 726 KB Posted
- Attached to
- 26IFB47 Ronald Reagan Blvd Widening - Segment D
- Solicitation number
- 26IFB47
- Issued by
- Williamson County, Texas
About this file
This is a Debarment and Licensing Certification document required for participation in a Williamson County, Texas construction contract for Ronald Reagan Boulevard Widening (Segment D). The certification is a sworn statement in which the bidding firm and its principals attest to their eligibility to perform public work. The document serves as a prerequisite qualification requirement for contractors submitting bids on the project, which involves construction of new lanes and intersection improvements including earthwork, grading, drainage structures, bridges, retaining walls, paving, illumination, signals, signing, striping, environmental work, and traffic control.
The certification requires bidders to confirm they are not presently debarred or suspended from federal contracts, have not been convicted of fraud or criminal offenses related to public contracts within the preceding three years, are not currently indicted for relevant offenses, have not had public contracts terminated for cause or default in the past three years, are properly registered and licensed in Texas to perform the required professional services, and have not been disciplined or formally reprimanded by any state agency for professional accreditation within three years. The certification must be notarized and signed by an authorized representative of the firm. Any firm unable to certify to these statements must provide a written explanation attached to the certification document.
View the file
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| 13-13-RRSegD2-Final PavementReport.pdf | ||
| 12-11-RRSegD1-FinalGeotechandPavementReport.pdf | ||
| 9-08-RRSegD-FormCIQ.pdf | ||
| 14-12-RRSegD2-FinalGeotechStructuralReport.pdf | ||
| 2-01-RRSegD-BidForm.xlsx | XLSX spreadsheet | |
| 3-02-RRSegD-PCM.pdf | ||
| 15-Pre-Bid Cancellation Notice 05.07.2026.docx | DOCX document | |
| 5-05-RRSegD-ChildSupport.pdf | ||
| 1-001 IFB HNTB Specifications Construction.docx | DOCX document | |
| 4-03-RRSegD-Plans.pdf | ||
| 6-04-RRSegD-BidderReference.pdf | ||
| 11-06-RRSegD-Bid Affidavit.pdf | ||
| 7-10-RRSegD-AntiBoycottStatement.pdf | ||
| 8-07-RRSegD-AddAcknowledge.pdf |
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Text version
DEBARMENT AND LICENSING CERTIFICATION
STATE OF TEXAS
COUNTY OF WILLIAMSON §
I, the undersigned, being duly sworn or under penalty of perjury under the laws of the United States and the State of Texas, certifies that Firm named herein below 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 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 federal, state or local governmental entity with commission of any of the offenses enumerated in paragraph (1)(b) of this certification;
(d) Have not within a three-year period preceding this application/proposal had one or more public (federal, state or local) transactions terminated for cause or default;
(e) Are registered and licensed in the State of Texas to perform the professional services which are necessary for the project; and
(f) Have not been disciplined or issued a formal reprimand by any State agency for professional accreditation within the past three years.
Name of Firm
Signature of Certifying Official Title of Certifying Official
Printed Name of Certifying Official Date
Where the Firm is unable to certify to any of the statements in this certification, such Firm shall attach an explanation to this certification.
SUBSCRIBED and sworn to before me the undersigned authority by on this the day of _______, 20___, on behalf of said Firm.
Notary Public in and for the State of Texas
My commission expires: _______________
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