3-3 - Debarment Certification.pdf
PDF 25 KB Posted
- Solicitation number
- 2026016-RFP5500 Fiber Construction, Maintenance, & Restoration Services
- Issued by
- Columbia County, Georgia
About this file
This is a Debarment Certification document required for the Columbia County Board of Commissioners' RFP 2026016-RFP5500 for Fiber Construction, Maintenance, and Restoration Services in Georgia. The certification document serves as the bidder's attestation of compliance with federal debarment regulations under Executive Order 12549 and 7 CFR Part 3017. Bidders must confirm they have submitted a duly executed certification form as prescribed by federal regulations and certify that they will not subcontract with any person or firm debarred from government contracts pursuant to Executive Order 11246.
The document requires bidders to attest to their compliance by providing signatures from an authorized representative and the company secretary, along with the bidder's name, title, date, and complete name and address. False statements made in connection with this certification carry penalties under 18 U.S.C. Section 1001. This certification is a standard prerequisite requirement for bidders responding to the Columbia County fiber optic infrastructure maintenance project involving approximately 398 miles of fiber cable and conduit systems.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-2 - NONCOLLUSION AFFIDAVIT.docx | DOCX document | |
| 2-1 - Request for Proposal Document.pdf |
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Text version
Columbia County DC-1 DEBARMENT CERTIFICATION
DEBARMENT CERTIFICATION
The Bidder represents that to the extent required by Executive Order 12549, Debarment and Suspension, and 7 CFR Part 3017, it has submitted to the Owner a duly executed Certification in the form prescribed in 7 CFR Part 3017. The Bidder shall not enter into any subcontract with any person or firm debarred from Government Contracts pursuant to Executive Order 11246.
Note: The penalty for making false statements in offers is prescribed in 18 U.S.C. 1001.
Attest:
By
(Signature)
(Secretary) (Name - Type or Print)
(Date) (Title)
(Name and Address of Bidder)
File details come from the government source that posted it. Updated .