2025-2026 - OAS Front End Loader - Suspended or Debarred Vendor Form.pdf
PDF 105 KB Posted
- Attached to
- Release of Front End Loader Invitation to Bid
- Solicitation number
- RFP OAS 260000002056 1
- Issued by
- Huron County, Michigan
About this file
This is a Debarment and Suspension Certification form for Oscoda Area Schools' Invitation to Bid for a Front End Loader and Snow Pusher Attachment in Michigan. The bid is due on June 4, 2026, at 12:00 PM EST. The form requires proposers to certify their eligibility to participate in the procurement by confirming they are not debarred, suspended, proposed for debarment, or voluntarily excluded from covered transactions by any federal department or agency.
Proposers must certify that within the three-year period preceding submission, they have not been convicted of or had civil judgments rendered against them for fraud, criminal offenses related to public transactions, antitrust violations, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receiving stolen property. Additionally, proposers must confirm they are not presently indicted or criminally or civilly charged with any enumerated offenses and have not had one or more public transactions terminated for cause or default within three years. Proposers unable to certify to all statements must provide a written explanation detailing which statements can be certified and explaining those that cannot. The certification requires an authorized signature, printed name, executed location, and date, with acknowledgment that the provisions of Title 31 USC Sections 3801 apply to the submitted statements.
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Text version
Oscoda Area Schools ITB – Front End Loader and Snow Pusher Attachment
Bid Due: June 4, 2026 – 12:00 PM EST
DEBARRMENT AND SUSPENSION CERTIFICATION
Choose one alternative:
□ The Proposer certifies to the best of its knowledge and belief that it and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;
2. Have not 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 antitrust statutes or commission or embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
3. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in Paragraph 2 of this certification; and
4. Have not within a three-year period preceding this Proposal had one or more public transactions (federal, state or local) terminated for cause or default.
OR
□ The Proposer is unable to certify to all of the statements in this certification, and attaches its explanation to this certification. (In explanation, certify to those statements that can be certified to and explain those that cannot.) The Proposer certifies or affirms the truthfulness and accuracy of the contents of the statements submitted on or with this certification and understands that the provisions of Title 31 USC § Sections 3801 are applicable thereto.
Executed in (city and State):_____________________________________________
Name (print):____________________________________________ __
Authorized signature_______________________________________
Date_________________________
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