7-SAM Certification.pdf

This is a certification form regarding debarment, suspension and other responsibility matters for state and local contract opportunities. The form requires a business entity to certify that neither the company nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any federal department or agency. The form provides two certification options: one affirming the company's eligibility status and another acknowledging inability to certify with a requirement for attached explanation.

The certification form requires completion with the business entity name, selection of the appropriate certification statement, and execution by an authorized representative including their signature, printed name, title/role/capacity, and date. This appears to be a standard compliance document that contractors must complete as part of their bid submission process to demonstrate their eligibility to participate in government contracting opportunities and ensure they meet federal responsibility standards.