6-G. Debarment Cert.pdf
PDF 160 KB Posted
- Attached to
- Pump and Motor Repair Services
- Solicitation number
- 269- 2026-183
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Debarment Certification document for Project 269.2026.183 related to a Pump and Motor Repair Services contract opportunity with the City of Charlotte, North Carolina. The certification requires bidders, contractors, and subcontractors to affirm that they and their principals—including officers, directors, managers, and persons holding greater than 10% equity interest—are not presently debarred, suspended, proposed for debarment, or excluded from covered transactions by any federal or state department or agency. The document establishes responsibility standards that apply throughout the contracting process.
The certification obligates bidders to confirm that neither they nor their principals have, within the three-year period preceding the proposal, been convicted of or had civil judgments rendered for fraud, criminal offenses in connection with public transactions, violations of federal or state anti-trust or procurement statutes, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property. Additionally, bidders must certify they are not presently indicted or criminally or civilly charged for any such offenses and have not had any public transactions terminated for cause or default within the preceding three years. False statements on this certification may result in proposal rejection, contract termination, or criminal prosecution. Signatories must provide their printed name, signature, title, and date, with an option to attach an explanation if unable to certify to any statement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 9-F. Price Schedule.xlsx | XLSX spreadsheet | |
| 11-B. 269.2026.183, RFP.pdf | ||
| 5-C. Sample Services Contract .pdf | ||
| 10-K. License info.pdf | ||
| 4-H. Anti Lobby Cert.pdf | ||
| 1-J. Exceptions Form.pdf | ||
| 2-E. References Form.pdf | ||
| 7-I. CBI FORM 3.pdf | ||
| 3-D. Proposal Submission Form.pdf | ||
| 8-A. Bonfire Guide.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
Project 269.2026.183
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 .