28-6s - Certificate of Federal Debarment.pdf

This file is a Certification of Non-Debarment for Federal Government Contracts required under New Jersey Statutes N.J.S.A. 52:32-44.1 (P.L. 2019, c.406) for the Township of Stafford in relation to BID #2026-045, the Stafford Township Dredging & Popular Point Restoration Project-Phase 2. The certification form requires bidders to declare that neither they nor their principals are debarred, suspended, or otherwise ineligible to participate in federal government contracts. The document provides spaces for the individual or organization name, address, DUNS code, and CAGE code, along with signature and date fields for authorized representatives.

The form includes multiple sections requiring disclosure of ownership information, including identification of stockholders owning more than 50 percent of voting stock in corporations, partners owning more than 50 percent interest in partnerships, and members owning more than 50 percent interest in limited liability companies. Additionally, the certification requires identification of parent entity owners meeting the 50 percent threshold and any business entities controlled by the entity listed in Section A. All certifying officials must provide their printed name, title, signature, and date on the form. This certification is a mandatory compliance document for federal contracting eligibility and must be submitted as part of the bid package for the dredging and wetlands restoration project.