10-Debarment Form.pdf

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Attached to
RFP 2026-014 Emergency Food Services
Solicitation number
RFP No. 2026-014
Issued by
Palm Beach County, Florida

About this file

This is a Debarment Certification Form submitted by the Town of Palm Beach, Florida, requiring subcontractors to certify their eligibility to participate in the emergency food services contract opportunity. The form requires prospective subcontractors to confirm that neither they nor their principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in any transaction by a Federal department or agency. Subcontractors unable to certify to this statement must attach an explanation to the form. The certification must be completed with the subcontractor's signature, name, title, street address, city, state, zip code, and date of submission.

The debarment certification is a mandatory compliance requirement for participation in RFP 2026-014, the Town of Palm Beach's emergency food services solicitation. This requirement is integral to the procurement process, as the Town will be seeking reimbursement from FEMA for services rendered following hurricanes or other disasters, necessitating adherence to Federal eligibility standards. All subcontractors must submit this certification as part of their proposal submission through the Bonfire eProcurement platform, with proposals remaining irrevocable for 180 days from the opening date. The contract award will be for one year with four one-year renewal options, for a total potential term of five years.

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Text version

Subcontractor Statements

(1) The prospective subcontractor, of the Sub-Recipient certifies, by submission of this document, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.

(2) Where the Sub-Recipient's subcontractor is unable to certify to the above statement, the prospective subcontractor shall attach an explanation to this form.

SUBCONTRACTOR

By Signature

Name and Title

Street Address

City, State, Zip

Date

Town of Palm Beach Sub-Recipient's Name

Subcontractor Statements
SUBCONTRACTOR
theSubRecipient certifies by submission ofthis document thatneither itnor its principals is:
Name andTitle:
Street Address:
City State Zip:
Date:

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