5 HCSD Custodial Services Suspension and Deba.pdf
PDF 84 KB Posted
- Attached to
- Custodial Services 91039/27. 671
- Solicitation number
- PE-55258-NONST-2027-000000004
- Issued by
- Hall County, Georgia
About this file
This is a Suspension and Debarment Certification form required by the Haralson County School District (HCSD) in Georgia for the Custodial Services RFP 91039/27/671. All vendors and sub-contractors submitting proposals must complete and return this certification as part of their complete RFP packet. The certification requires vendors to attest under penalty of perjury that they and their principals meet specific eligibility criteria regarding their compliance history and standing with government entities.
Vendors must certify that they are not currently debarred, suspended, proposed for debarment, or excluded from federal transactions; have not been convicted of or had civil judgments rendered against them for fraud or criminal offenses related to public transactions within the preceding three years; are not presently indicted or criminally or civilly charged with any offenses listed; and have not had public transactions terminated for cause or default within the preceding three years. Vendors unable to certify to any statement must attach an explanation to the certification. The form requires the printed name, title, and signature of an officer authorized to sign on the company's behalf, along with the company name and date, and must be submitted with the complete RFP packet. Vendors must also promptly notify HCSD if they later become aware of any information that contradicts the statements made in the certification.
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Text version
Haralson County School District Facilities/Maintenance Department
SUSPENSION AND DEBARMENT CERTIFICATION
1. All vendors, including sub-contractors, must complete this certification and certify under penalty of perjury that, except as noted below, certifies that it and its principals:
(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;
(b) Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses listed above; and
(d) Have not within a three-year period preceding this application had one or more public transaction (Federal, State, or local) terminated for cause or default.
2. If such persons or vendors later become aware of any information contradicting the statements above, HCSD will be promptly notified.
3. Where the applicant is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this certification.
Printed Name and Title of Officer authorized to sign on the company’s behalf:
Signature:__________________________________________________
Date:______________________________________________________
Name of Company:___________________________________________
**Return with complete RFP packet**
File details come from the government source that posted it. Updated .