7-Subcontractor Debarment Certification.pdf
PDF 208 KB Posted
- Attached to
- Facility Security Equipment Upgrade State and local contract opportunity
- Solicitation number
- FY26-RFP-004
- Issued by
- Illinois
About this file
This document is a Certification of Lower-Tier Participants (Subcontractors) form from Connect Transit, located at 351 Wylie Drive, Normal, IL 61761. The form is designed to certify that subcontractors are not currently debarred, suspended, or excluded from participating in federal transactions. Subcontractors must complete this certification to confirm their eligibility to work on a project, with the requirement to attach an explanation if they cannot certify any of the statements.
The document provides a standard template for subcontractors to affirm their compliance with federal regulations, specifically referencing 31 USC Sections 3801 ET seq. The form includes spaces for an authorized official's signature, title, firm name, date, and notarization, ensuring a formal and legally binding declaration of the subcontractor's good standing. Contact information for Connect Transit is provided at the bottom of the document, including phone number (309-828-9833) and website (connect-transit.com).
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 1-Debarment Certification.pdf | ||
| 8-Prompt Payment Affidavit.pdf | ||
| 6-Davis Bacon Certficiation.pdf | ||
| 10-Bid or Proposal Affidavit.pdf | ||
| 12-Federal Tax Liability and Recent Felony Convictions Certification Fillable.pdf | ||
| 2-Non-Collusion Affidavit.pdf | ||
| 9-Certification of Restrictions on Lobbying.pdf | ||
| 11-Conflict of Interest Certification.docx | DOCX document | |
| 13-FY26-RFP-004 Terms and Conditions.pdf | ||
| 14-FY26-RFP-004 Cost Proposal.xlsx | XLSX spreadsheet | |
| 15-FY26-RFP-004 Solicitation FINAL.pdf | ||
| 3-Buy America Certification.pdf | ||
| 4-Subcontractor Supplier Report.pdf | ||
| 5-Indemnity and Insurance Requirements.pdf |
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Text version
CERTIFICATION OF LOWER-TIER PARTICIPANTS (SUBCONTRACTORS) REGARDING
DEPARTMENT,SUSPENSIONANDOTHER INELIGILITY AND VOLUNTARY EXCLUSION
NOTICE TO BIDDER/PROPOSER: THIS CERTIFICATION SHALL BE COMPLETED BY ALL SUBCONTRACTORS.
The Undersigned Lower Tier Participant (subcontractor to the primary contractor), certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. If the below named Lower Tier Participant (Subcontractor) is unable to certify to any of the statements in this certification, such participant shall attach an explanation to this proposal.
The Undersigned Lower Tier Participant (subcontractor), certifies or affirms the truthfulness and accuracy of the contents of the statements submitted on or with this certification and understands that the provisions of 31 USC Sections 3801 ET seq. are applicable thereto.
THE UNDERSIGNED LOWER TIER PARTICIPANT (SUBCONTRACTOR) CERTIFIES OR AFFIRMS THE TRUTHFULNESS AND ACCURACY OF THE CONTENTS OF THE STATEMENTS SUBMITTED ON OR WITH THIS CERTIFICATION AND UNDERSTANDS THAT THE
PROVISIONS OF 31 U.S.C. SECTIONS 3801 ET SEQ. ARE APPLICABLE THERETO.
AUTHORIZED OFFICIAL: _______________________________________________
TITLE: _______________________________________________
FIRM NAME: _______________________________________________
SIGNATURE: _______________________________________________
DATE: _______________________________________________
State of _______________________________________________
County of _______________________________________________
Sworn to and subscribed before me by ________________________on this ______ day of ___________________, 20 ____.
NOTARY PUBLIC: _______________________________________________
COMMISSION EXPIRATION: _______________________________________________
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