21. DEBARMENT AND SUSPENSION CERTIFICATION.pdf
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- Solicitation number
- 147067
- Issued by
- Sacramento County, California
About this file
This is a Debarment and Suspension Certification form required for the Laguna Creek Trail and Bruceville Road Sidewalk Improvements Project in California. The form mandates that bidders certify their eligibility to participate in federally-regulated contracting by affirming that they, along with any associated owners, partners, directors, officers, or managers, are not currently suspended, debarred, voluntarily excluded, or deemed ineligible by any Federal agency. Bidders must also confirm that they have not experienced such debarment or suspension within the past three years, do not have a proposed debarment pending, and have not been indicted, convicted, or subject to adverse civil judgment involving fraud or official misconduct within the same three-year period.
The certification operates under Title 49, Code of Federal Regulations, Part 29, and must be submitted with the bid as a binding component of the proposal. Bidders may note exceptions to the certification if applicable; however, such exceptions do not automatically disqualify a bid but will be evaluated as part of the bidder responsibility determination. False information provided on this certification may result in criminal prosecution or administrative sanctions. The form requires the contractor or subcontractor signature, date, and title, with the act of signing the proposal constituting signature of this certification.
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THIS FORM MUST BE SUBMITTED WITH THE BID
68 Part III. Federal Provisions
21. Debarment and Suspension Certificate
21. DEBARMENT AND SUSPENSION CERTIFICATION
TITLE 49, CODE OF FEDERAL REGULATIONS, PART 29
The Bidder, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:
• is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;
• has not been suspended, debarred, voluntarily excluded or determined ineligible by any Federal agency within the past 3 years;
• does not have a proposed debarment pending; and
• has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
The above certification is part of the Proposal. Signing this Proposal on the signature portion thereof shall also constitute signature of this Certification.
THIS FORM MUST BE SUBMITTED WITH THE BID
Contractor/Subcontractor Signature
Date Title
File details come from the government source that posted it. Updated .