3-Debarment and Suspension Certification.pdf

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Attached to
eRate 2026 Fiber Data Cabling Upgrade Project
Solicitation number
eRate2026-1
Issued by
Kent County, Grand Rapids City, Michigan

About this file

This is a Debarment and Suspension Certification document required by Grand Rapids Public Schools for bidders responding to the eRate 2026 Fiber Data Cabling Upgrade Project in Michigan. The certification form requires bidders to attest under penalty of perjury that they, along with any associated owners, partners, directors, officers, or managers, are not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency. Bidders must also confirm that they have not been suspended, debarred, voluntarily excluded, or determined ineligible by any Federal agency within the past three years, do not have a proposed debarment pending, and are not presently indicted for or criminally or civilly charged by any governmental entity (Federal, State, or Local) involving fraud or official misconduct within the past three years.

The certification allows bidders to note exceptions to the stated conditions, though such exceptions will not necessarily result in denial of award but will be considered in determining bidder responsibility. Bidders must provide details regarding any exceptions, including the applicable person or entity, the initiating agency, and the dates of action. The document warns that providing false information may result in criminal prosecution or administrative sanctions. Bidders execute the certification by signing and dating the document, with their signature also constituting signature of the certification itself.

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Grand Rapids Public Schools

Grand Rapids Public Schools Debarment and Suspension Certification

Debarment and Suspension Certification

The bidder under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, manager:

• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any Federal agency;

• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any

Federal agency within the past 3 years;

• Does not have a proposed debarment pending; and

• Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or Local) in any matter involving fraud or official misconduct within the past 3 years.

If there are any exceptions to this certification, insert the exceptions in the following space.

Exceptions will not necessarily result in denial or award, but will be considered in determining bidder responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.

Notes: Providing false information may result in criminal prosecution or administrative sanctions. The above certification is part of the Bid. Signing this document on the signature portion thereof shall also constitute signature of this Certification.

Signature Title

Company Date

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