3-Appendix E GSD Agency Certification.pdf
PDF 81 KB Posted
- Attached to
- State Enterprise Space Management Program
- Solicitation number
- 27-350-26-00001
- Issued by
- New Mexico
About this file
This is an Agency Certification Form from the New Mexico General Services Department, State Purchasing Division, related to a professional consulting services contract for the State Enterprise Space Management Program. The form certifies contractor eligibility and compliance requirements for a contract between the State of New Mexico General Services Department, Facilities Management Division, and a selected contractor to provide professional consulting services for the development, implementation, and long-term maintenance of the State's Enterprise Space Management Program. The contractor will deliver professional expertise, project management, consulting, and technical advisory services necessary to support planning, documentation, collection, validation, analysis, and management of facility, building, and space information for State-owned and leased facilities.
The certification form requires verification that the contractor is not a current state employee, legislator, or family member of such individuals with financial interest exceeding 20 percent, unless the contract was awarded through standard procurement procedures excluding sole source or small purchase methods. The form mandates disclosure of former state employee status, with required supporting documentation including a Former Employee Affidavit, PERA letter if applicable, and a Department of Justice letter for those separated or retired within five years of contract signing. The contractor must be classified as either for-profit or not-for-profit, and the contract must comply with the Governor's Guidelines for Contract Review and Re-Evaluation and be certified as essential to the Agency.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
New Mexico General Services Department State Purchasing Division
AGENCY CERTIFICATION FORM
(Agency Name) hereby certifies the following in regard to the attached contractual agreement between the Agency and (Name of Contractor)
1) This contractor ☐ IS or ☐ IS NOT a former state employee. (See note below)
Former employee requires a Former Employee Affidavit (found on CRB website), PERA letter if contractor retired from State of New Mexico and a DOJ’s letter if contractor separated/retired within the last five years to the date of signed contract.
2) This contractor ☐ IS or ☐ IS NOT a current state employee or a legislator or the family member of a current state employee or legislator, or a business in which a current state employee or legislator or family member of the current state employee or legislator has an interest of greater than 20%. (See note below)
No contract may be awarded to a current state employee or legislator, or to a family member of a current state employee or legislator, or to a business in which any of these persons has an interest greater than 20% unless such contract is awarded pursuant to the Procurement Code, except such persons or businesses cannot be awarded a contract through a sole source or small purchase. (See Section 10-16-1 through 10-16-18 NMSA 1978 for further information.) If “IS” is selected, the contractor must submit a completed copy of the attached affidavit form along with this certification as part of the contract award process.
3) This Contractor is a: FOR PROFIT VENDOR ☐ or
NOT FOR PROFIT VENDOR ☐
I certify that the information stated in paragraphs 1-3 is true.
Signature of Contractor Date
4) This Professional Service Contract DOES COMPLY with the Governor’s Guidelines for Contract Review and Re-Evaluation and IS an essential contract for the Agency.
Cabinet Secretary or Designee Date
| (Agency Name) hereby certifies the following in regard to the attached contractual agreement between the Agency and (Name of Contractor) |
| 3) This Contractor is a: FOR PROFIT VENDOR ☐ |
File details come from the government source that posted it. Updated .