5-Form - Debarment.pdf

This is a debarment certification form required for participation in a request for proposal (RFP) issued by the Indian River County Metropolitan Planning Organization (MPO) in Florida for a General Planning Consultant position. The certification document serves as a formal attestation by prospective contractors regarding their eligibility to participate in the contract opportunity. Contractors must certify that neither they nor their principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any Federal department or agency. The form requires submission as part of the RFP process and mandates that an authorized official of the proposing firm sign and date the certification.

The certification further requires that prospective lower tier participants unable to certify to any of the statements must attach an explanation to their RFP submission. Additionally, contractors must certify that no member or agent of the firm has had access to information that could provide an unfair advantage during the bidding process. The document does not specify pricing terms, set-asides, funding amounts, or contract duration, as these details would be contained in the primary RFP documents. This certification is a standard compliance requirement ensuring that only eligible contractors participate in the competitive bidding process for the MPO's general planning consultant services.