6-G. Certification Regarding Debarment.pdf
PDF 641 KB Posted
- Attached to
- Park Maintenance Services State and local contract opportunity
- Solicitation number
- 269-2026-159
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters form with the document number 269.2026.159. The form requires bidders, contractors, or subcontractors to certify their legal and ethical standing when participating in a public transaction or contract.
The certification requires disclosure of any debarment, suspension, criminal convictions, or public transaction terminations within the past three years. Specifically, the form asks respondents to confirm they are not currently debarred, suspended, or declared ineligible by federal or state agencies; have not been convicted of fraud or criminal offenses related to public transactions; are not currently indicted or charged with such offenses; and have not had public transactions terminated for cause or default. The document includes spaces for the respondent to either certify compliance or provide an explanation if unable to certify the statements, with a warning that false statements may result in proposal rejection, award termination, or potential criminal prosecution.
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| 16-P. 269.2026.159 Price Schedule.xlsx | XLSX spreadsheet | |
| 2-C. Sample Services Contract.pdf | ||
| 4-E. References Form.pdf | ||
| 7-H. Byrd Anti-Lobbying Certification.pdf | ||
| 8-I. Exceptions to RFP.pdf | ||
| 11-L. Key Personnel.pdf | ||
| 10-K. CBI FORM 3 Services - Subcontractor Supplier Utilization Commitment.pdf | ||
| 12-M. Location Images.pdf | ||
| 13-N. Sample Form - Rating Sheet.pdf | ||
| 15-B. RFP 269.2026.159 Park Maintenance Services.pdf | ||
| 1-A. Bonfire Instructions Procurement Portal.pdf | ||
| 14-O. 2024 Landscape Construction Standards.pdf | ||
| 3-D. Proposal Submission Form.pdf | ||
| 5-F. Licensing and Certifications.pdf | ||
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Text version
269.2026.159
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 .