6-F. Certification Regarding Debarment.pdf
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- Attached to
- Forestry Mulching Services
- Solicitation number
- 269-2026-175
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters document required for the City of Charlotte's Forestry Mulching Services contract opportunity in North Carolina. The certification requires bidders, contractors, and subcontractors to attest that neither they nor their principals—including officers, directors, managers working under the contract, or persons holding greater than 10% equity interest—are presently debarred, suspended, proposed for debarment, or voluntarily excluded from covered transactions by any federal or state department or agency. Bidders must also certify that within the three-year period preceding the proposal, they have not been convicted of or had a civil judgment rendered against them for fraud, criminal offenses in connection with public transactions, violations of federal or state antitrust or procurement statutes, or crimes including embezzlement, theft, forgery, bribery, falsification of records, false statements, or receiving stolen property.
Additionally, bidders must certify that they are not presently indicted for or otherwise criminally or civilly charged by any government entity with commission of the offenses enumerated above, and that within the three-year period preceding the proposal, they have not had one or more public transactions terminated for cause or default. The document includes a checkbox provision allowing bidders unable to certify to one or more statements to attach an explanation. The certification requires the signature, printed name, title, and date of an authorized representative, with explicit notice that false statements may result in proposal rejection, award termination, or criminal prosecution.
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Text version
269.2026.175
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
The bidder, contractor, or subcontractor, as appropriate, certifies to the best of its knowledge and belief that neither it nor any of its officers, directors, or managers who will be working under the Contract, or persons or entities holding a greater than (ten percent) 10% equity interest in it (collectively “Principals”):
1. Are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal or state department or agency in the United States;
2. Have within a three-year period preceding this proposal 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 anti-trust or procurement statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
3. Are presently indicted for or otherwise criminally or civilly charged by a government entity, (federal, state or local) with commission of any of the offenses enumerated in paragraph 2 of this certification; and
4. Have within a three-year period preceding this application/proposal had one or more public transactions (federal, state or local) terminated for cause or default.
I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award or in some instances, criminal prosecution.
I hereby certify as stated above:
(Print Name) Signature
Title Date
I am unable to certify to one or more the above statements. Attached is my explanation. [Check box if applicable]
(Print Name) Signature
File details come from the government source that posted it. Updated .