8-Debarment Suspension Federal Form.pdf

This is a Debarment and Suspension Certification form required for federal compliance in connection with a state and local contract opportunity involving the City of Norwalk, Connecticut, and the City of Owensboro, Kentucky. The form serves as an attestation by an authorized representative of a business entity that the bidder and its principals are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any federal department or agency as of a specified date. The certification requires completion of standard fields including business entity name, signature of an authorized representative, printed name, title or role, and date of certification. Bidders must select one of two checkbox options: either certifying their eligible status or indicating inability to certify and providing an attached explanation. This form is a prerequisite compliance document that must be submitted as part of the bidding process for both the Marvin Elementary School HVAC and Indoor Air Quality Project in Connecticut and the Monarch NRSA Downspout Removal Program in Kentucky.

The certification form itself contains no pricing information, set-asides, funding sources, or other substantive contract terms. Rather, it functions as a gating mechanism to ensure bidders meet fundamental federal eligibility requirements before their proposals are considered. Submission of this certification is mandatory for all bidders and must be completed with accurate information and proper authorization, as false certifications may result in serious legal and contractual consequences.