2-Suspension and Debarment Certification.pdf
PDF 10 KB Posted
- Attached to
- Stop Loss Insurance
- Solicitation number
- RFP 26-023KB
- Issued by
- Fort Bend County, Texas
About this file
This document is a Suspension and Debarment Certification form governed by Federal Law (A-102 Common Rule and OMB Circular A-110), which applies to non-federal entities engaging in contracts or subawards. The certification is mandatory for procurement contracts and subawards totaling $25,000 or more, requiring vendors to confirm that neither their organization nor its principals are suspended or debarred by a federal agency.
The form requires a company official to sign and certify compliance, explicitly stating that the vendor and its principals have not been suspended or debarred. By signing, the vendor affirms eligibility to receive federal awards and acknowledges the legal prohibition against contracting with suspended or debarred entities. The document provides blank spaces for the vendor's name, official signature, date of signing, and printed name of the company official executing the certification.
View the file
Other files
Show all 25
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
- 15 -
SUSPENSION AND DEBARMENT CERTIFICATION
Federal Law (A-102 Common Rule and OMB Circular A-110) prohibits non-federal entities from contracting with or making subawards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all nonprocurement transactions (e.g., subawards to subrecipients).
Contractors receiving individual awards of $25,000 or more and all subrecipients must certify that their organization and its principals are not suspended or debarred by a federal agency.
Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a federal agency.
I, the undersigned agent for the firm named below, certify that neither this firm nor its principals are suspended or debarred by a federal agency.
VENDOR’S NAME: _________________________________________________
Signature of Company Official:______________________________________________
Date Signed: _________________________________
Printed name of company official signing above: _____________________________
Date1_af_date:
File details come from the government source that posted it. Updated .