2-I. CERTIFICATION REGARDING DEBARMENT - MarCom(A).pdf
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- Solicitation number
- 269- 2025- 1842(A)
- Issued by
- Mecklenburg County, Cleveland Town, North Carolina
About this file
This document is Required Form 7 - Certification Regarding Debarment for RFP #269-2025-1842(A) for Professional Marketing and Communications Services. The form requires bidders, contractors, or subcontractors to certify their legal and ethical standing in public transactions. The certification requires disclosure of whether the organization or its principals (officers, directors, managers, or entities with >10% equity interest) have been debarred, suspended, or excluded from federal or state transactions, have criminal convictions related to public contracts within the past three years, are currently under criminal indictment, or have had public transactions terminated for cause.
The form serves as a legal declaration of the bidder's integrity and compliance with government contracting standards. It explicitly warns that false statements may result in proposal rejection, contract termination, or potential criminal prosecution. Bidders must either certify their compliance with all listed conditions or, if unable to do so, provide a detailed explanation. The form provides spaces for printing name, signature, title, and date, with an additional section for those who cannot fully certify their compliance.
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Text version
REQUIRED FORM 7 – CERTIFICATION REGARDING DEBARMENT
RFP # 269-2025-1842(A)
Professional Marketing and Communications Services
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
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
| REQUIRED FORM 7 – Certification regarding debarment |
| CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS |
File details come from the government source that posted it. Updated .