13-File T-Federal Debarment.pdf

This is a Federal Debarment Certification form for the Township of Stafford's alterations and additions project at the Stafford Volunteer Fire Company on Nautilus Drive, Phase 2, located in New Jersey. The form requires the bidder to provide organizational and ownership information, including the legal name and physical address of the entity, unique identifiers such as CAGE codes, and detailed disclosure of stockholders, partners, or members owning more than 50 percent of voting interests, as well as identifying information for parent entity owners. The document mandates certification of non-debarment status for the contractor and all controlled entities, with bidders required to list any business entities under their control along with their physical addresses. Signatures and dates from authorized representatives are required for all certification sections.

The form contains multiple certification checkboxes and signature lines requiring authorized officers to affirm that neither the bidder nor any controlled entities are currently debarred, suspended, or otherwise ineligible to receive federal funds or participate in federally funded contracts. Bidders must provide complete and accurate information regarding all ownership structures and controlled entities, with provisions to attach additional sheets if necessary. This certification is a mandatory pre-bid requirement for the fire house construction project, which includes the construction of a 2,000 square foot West Garage Bay, demolition of existing structures, construction of a new 900 square foot two-story building, electrical upgrades, plumbing modifications, mechanical system installation, and site improvements, with bids due August 19, 2026.