3-Suspension and Debarment Certification.pdf

PDF 10 KB Posted

Attached to
Campus Fitness Programs State and local contract opportunity
Solicitation number
RFP 26-046KB
Issued by
Fort Bend County, Texas

About this file

This is a Suspension and Debarment Certification form required by federal law for the Fort Bend Independent School District's Campus Fitness Programs procurement in Texas. The certification applies to contractors receiving individual awards of $25,000 or more and all subrecipients under covered transactions, including procurement contracts for goods or services equal to or exceeding $25,000 and all nonprocurement transactions. The form requires the vendor's authorized representative to certify that neither the firm nor its principals are suspended or debarred by any federal agency, with spaces provided for the vendor's name, signature of company official, date signed, and printed name of the signatory.

No specific information regarding pricing terms, contract amounts, funding sources, award dates, contract term, renewal options, or other project details is contained in this certification document. The form serves solely as a compliance requirement under federal regulations (A-102 Common Rule and OMB Circular A-110) and must be completed prior to contract award.

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Text version

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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 subawards 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 nonprocurement transactions (e.g., subawards to subrecipients).

Contractors receiving individual awards of $25,000 or more and all subrecipients 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 this firm nor its principals are suspended or debarred by a federal agency.

VENDOR’S NAME: _________________________________________________

Signature of Company Official:______________________________________________

Date Signed: _________________________________

Printed name of company official signing above: _____________________________

Date1_af_date:

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