4-Attachment G. Certification re Debarment Suspension.pdf

This is a Certification Regarding Debarment and Suspension form required by the Wisconsin Pension Board for the Investment Consulting Services contract opportunity. The certification requires applicants to affirm that they and their principals, owners, officers, shareholders, key employees, directors, and member partners meet specific eligibility criteria for federal and state contracting purposes.

The applicant must certify that no covered personnel are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency. Additionally, applicants must confirm that within the three-year period preceding the proposal date, none of these individuals have been convicted of or had civil judgments rendered against them for fraud, criminal offenses in connection with public transactions or contracts, antitrust violations, embezzlement, theft, forgery, bribery, falsification or destruction of records, false statements, or receiving stolen property. The certification further requires that no covered personnel are presently indicted for or criminally charged with any such offenses, and that no public transactions have been terminated for cause or default within the three-year period preceding the proposal. The form requires an authorized signature, date, printed name, title, and company name.