3-e. Certificate Regarding Debarment.pdf
PDF 94 KB Posted
- Attached to
- Manufacturing Equipment – Mills & Lathes
- Solicitation number
- IFB No. 26-42
- Issued by
- Rock Island County, Rockford City, Illinois
About this file
This is a Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion form required by the Illinois State Board of Education for lower tier covered transactions under federal regulations implementing Executive Orders 12549 and 12689. The certification pertains to a Manufacturing Equipment – Mills & Lathes Invitation for Bid in Illinois. By executing this form, prospective lower tier participants certify that neither they nor their principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any Federal department or agency. Participants must also commit to providing immediate written notice if their certification becomes erroneous due to changed circumstances and shall not knowingly enter into lower tier covered transactions with debarred, suspended, ineligible, or voluntarily excluded persons unless authorized by the originating department or agency.
The form requires an authorized representative to sign and submit the certification as a material representation of fact upon which reliance is placed when the transaction is entered into. Any prospective lower tier participant unable to certify to the statements provided must attach an explanation to the certification. If a participant is later determined to have knowingly rendered an erroneous certification, the department or agency may pursue all available remedies, including suspension and/or debarment. Participants may verify eligibility by checking the GSA Government-Wide System for Award Management Exclusions (SAM Exclusions) at http://www.sam.gov or the Excluded Parties List System at http://epls.arnet.gov/.
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Text version
ILLINOIS STATE BOARD OF EDUCATION
100 North First Street
Springfield, IL 62777-0001
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY, AND VOLUNTARY EXCLUSION LOWER
TIER COVERED TRANSACTIONS
This certification is required by the regulations implementing Executive Orders 12549 and 12689, Debarment and Suspension, 2 CFR part 3485, including Subpart C Responsibilities of Participants Regarding Transactions (also see federal guidance at 2 CFR part 180). Copies of the regulations may be obtained by contacting the Illinois State Board of Education.
BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS BELOW.
CERTIFICATION
The prospective lower tier participant certifies, by submission of this Certification, that:
(1) Neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency;
(2) It will provide immediate written notice to whom this Certification is submitted if at any time the prospective lower tier participant learns its certification was erroneous when submitted or has become erroneous by reason of changed circumstances;
(3) It shall not knowingly enter any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated;
(4) It will include the clause titled Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion—Lower Tier Covered Transactions, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions;
(5) The certifications herein are a material representation of fact upon which reliance was placed when this transaction was entered into; and
(6) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this Certification.
Organization Name
PR/Award Number or Project Name
Name of Authorized Representative
Title
Original Signature of Authorized Representative Date
Instructions for Certification
1. By signing and submitting this Certification, the prospective lower tier participant is providing the certifications set out herein.
2. If it is later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal government, the department or agency with which this transaction originated may pursue all available remedies, including suspension and/or debarment.
3. Except for transactions authorized under paragraph 3 above, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal government, the department or agency with which this transaction originated may pursue all available remedies, including suspension and/or debarment.
4. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principal, proposal, and voluntarily excluded, as used herein, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549 and Executive Order 12689. You may contact the person to which this Certification is submitted for assistance in obtaining a copy of those regulations.
5. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the “GSA Government- Wide System for Award Management Exclusions” (SAM Exclusions) at http://www.sam.gov.
6. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required herein. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
http://epls.arnet.gov/ http://epls.arnet.gov/
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