8-08 - Suspension and Debarment Certification.pdf

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Attached to
SCADA Maintenance Services for Water Operations
Solicitation number
RFQ 25-18981-YB
Issued by
Henderson County, Texas

About this file

This document is a Suspension and Debarment Certification form based on Federal Law (A-102 Common Rule and OMB Circular A-110), which applies to non-Federal entities engaging in procurement contracts or sub-awards. The certification requires contractors receiving individual awards of $25,000 or more to verify that their organization and its principals are not suspended or debarred by a Federal agency.

The form mandates that before an award of $25,000 or more can be made, the firm must certify its compliance by having a company official sign the document, providing the company name, Federal Tax ID Number, and date of signing. The purpose is to ensure that federal funds are not awarded to entities that have been prohibited from receiving government contracts due to previous misconduct or violations.

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SUSPENSION AND DEBARMENT CERTIFICATION

Federal Law (A-102 Common Rule and OMB Circular A-110) prohibits non-Federal entities from contracting with or making sub-awards under covered transactions to parties that are suspended or debarred or whose principals are suspended or debarred. Covered transactions include procurement contracts for goods or services equal to or in excess of $25,000 and all non-procurement transactions (e.g., sub-awards to sub-recipients).

Contractors receiving individual awards of $25,000 or more and all sub-recipients must certify that their organization and its principals are not suspended or debarred by a Federal agency.

Before an award of $25,000 or more can be made to your firm, you must certify that your organization and its principals are not suspended or debarred by a Federal agency.

I, the undersigned agent for the firm named below, certify that neither the firm nor its principals are suspended or debarred by a Federal agency.

COMPANY NAME:

Firm’s Federal Tax ID Number: ______________________________________________

Signature of Company Official:

Printed name of company official signing above:

Date Signed:

COMPANY NAME:
Firms Federal Tax ID Number:
Printed name of company official signing above:
Date Signed:

File details come from the government source that posted it. Updated .