3-07 - Suspension and Debarment Certification.pdf
PDF 72 KB Posted
- Solicitation number
- RFQ 25-18963-TF
- Issued by
- Hunt 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 procurement contracts or sub-awards. The certification is required for any contract or sub-award valued at $25,000 or more, mandating that contractors and sub-recipients affirm that their organization and its principals are not suspended or debarred by a Federal agency.
The form requires the company's authorized representative to complete key information, including the company name, Federal Tax ID Number, an official signature, printed name of the signing official, and the date of signing. By executing this document, the company officially certifies its compliance with federal regulations regarding contracting eligibility, specifically confirming that neither the firm nor its principals have been suspended or debarred from participating in federal transactions. This certification is a prerequisite for receiving awards or contracts valued at $25,000 or more from federal entities.
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SUSPENSION AND DEBARMENT CERTIFICATION
Federal Law (A-102 Common Rule and OMB Circular A-110) prohibits non-Federal entities from contracting with or making sub-awards 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 non-procurement transactions (e.g., sub-awards to sub-recipients).
Contractors receiving individual awards of $25,000 or more and all sub-recipients 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 the firm nor its principals are suspended or debarred by a Federal agency.
COMPANY NAME:
Firm’s Federal Tax ID Number: ______________________________________________
Signature of Company Official:
Printed name of company official signing above:
Date Signed:
| COMPANY NAME: |
| Firms Federal Tax ID Number: |
| Printed name of company official signing above: |
| Date Signed: |
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