2-G. Debarment Cert.pdf
PDF 158 KB Posted
- Attached to
- Flooring and Wallcovering Services
- Solicitation number
- 269-2026-195
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Debarment Certification document for Project 269.2026.195 related to the City of Charlotte's Flooring and Wallcovering Services contract opportunity in North Carolina. The certification requires bidders, contractors, and subcontractors to attest that neither they nor their officers, directors, managers, or principals holding greater than ten percent equity interest are presently debarred, suspended, proposed for debarment, or voluntarily excluded from covered transactions by any federal or state department or agency. Bidders must also certify that within the three-year period preceding the proposal, they have not been convicted of or had civil judgments rendered against them for fraud, criminal offenses related to public transactions, anti-trust or procurement statute violations, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property.
Bidders must further certify that they are not presently indicted or criminally or civilly charged by any government entity for the offenses enumerated in the certification and that they have not had one or more public transactions terminated for cause or default within the three-year period preceding the application. False statements on this certification may result in proposal rejection, termination of award, or criminal prosecution. Bidders unable to certify to one or more statements must check the applicable box and provide written explanation. The form requires the bidder's printed name, signature, title, and date of certification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-E. References Form.pdf | ||
| 6-C. Sample Contract.pdf | ||
| 5-A. Bonfire Guide.pdf | ||
| 8-H. Anti Lobby Cert.pdf | ||
| 7-I. CBI Form 3.pdf | ||
| 1-J. Contract Exceptions.pdf | ||
| 9-F. Pricing Information.xlsx | XLSX spreadsheet | |
| 3-D. Proposal Submission Form.pdf | ||
| 10-B. 269.2026.195, RFP.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS
Project 269.2026.195
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
File details come from the government source that posted it. Updated .