7-08 - Suspension and Debarment Certification.pdf

This is a Suspension and Debarment Certification form required by the Quincy Park Public Improvement District (PID) in Lubbock, Texas for the Stormwater Drainage Improvement Project. The certification applies to all contractors receiving individual awards of $25,000 or more and all sub-recipients under covered transactions. The project seeks Design, Landscape Architecture, Engineering, or Architecture and Engineering services to develop design specifications for stormwater drainage improvements on the southeastern area of Quincy Park, adjacent to the Quitman Avenue and 91st Street intersection at 9002 Rochester Avenue, Lubbock, Texas 79424. The initial contract term is six (6) months with one (1) optional six (6) month extension. An Optional Scope of Work Expansion is available for construction management and oversight services, which would add an additional six (6) months to the contract with an optional six (6) month extension.

The certification requires that the undersigned company official certify under federal law (A-102 Common Rule and OMB Circular A-110) that neither the firm nor its principals are suspended or debarred by any Federal agency. The form requires the company name, Federal Tax ID number, signature of an authorized company official, printed name of the signatory, and the date signed. Construction management and oversight fees under the Optional Scope of Work Expansion will be subject to negotiation with City Staff. No other pricing terms, set-asides, or funding information is specified in this certification document.