3-07. Submittal Form- Certifications- Yes No.docx

This submittal form contains certification requirements for vendors bidding on the Utah Department of Transportation (UDOT) Invitation for Bid (IFB) for W-beam, Thrie beam guardrail, and components (Solicitation #UDOT260292BG). The form requires bidders to certify their status regarding debarment, conflict of interest, outstanding tax liens, and other material information that could impact the State's determination of vendor responsiveness. Vendors must respond to four certification questions with either "No" or "Yes" answers. If answering "Yes" to any question, vendors are required to provide detailed written explanations of the circumstances. The certifications address whether vendors have been debarred, suspended, proposed for debarment, or declared ineligible by any government entity; whether conflicts of interest exist that could arise during contract performance; whether outstanding tax liens exist in the State of Utah; and whether any other material information exists that is not already included in the proposal that would impact the State's award determination.

This form serves as a critical compliance and disclosure document designed to ensure vendor responsibility and integrity in the procurement process. Vendors must complete all four certification sections accurately and truthfully, as false or incomplete certifications could result in bid rejection or contract termination. The form references Utah Code Annotated (UCA) 63G-6a-120 & 902, establishing the legal framework for these requirements under Utah's Procurement Code. The submittal form is one component of the broader IFB package and must be submitted with the vendor's bid proposal to demonstrate compliance with state procurement regulations and to verify the vendor's eligibility and suitability for contract award.