8-File R- STATE ON NJ DEBAR.pdf
PDF 209 KB Posted
- Solicitation number
- 2026-038-WS
- Issued by
- Ocean County, New Jersey
About this file
This is a Debarred List Affidavit required by the Township of Stafford, New Jersey for the bid titled BID #2026-038-W/S Beach Haven West Sanitary Sewer Replacement-Phase 8. The affidavit serves as a certification document that bidders must complete and submit as part of their proposal submission. The form requires an authorized representative of the bidding firm to swear under oath that the bidder is not currently included on the State of New Jersey State Treasurer's List of Debarred, Suspended and Disqualified Bidders at the time of bid submission. The affidavit must be notarized and include the contractor's name and address, the affiant's title and printed name, and the date of execution.
The affidavit further obligates the bidder to immediately notify the Township of Stafford should the firm's name appear on the State Treasurer's debarment list at any time prior to or during the contract term, including the guarantee period. Bidders acknowledge their understanding that contractors are subject to disbarment, suspension, and disqualification from contracting with the State of New Jersey pursuant to N.J.A.C. 7:15.2 for committing specified prohibited acts as determined by applicable law and regulations. This document is a mandatory compliance requirement for bid eligibility and protects the Township by ensuring that only qualified, non-debarred contractors may be awarded the sanitary sewer replacement project.
View the file
Other files
Show all 28
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
TOWNSHIP OF STAFFORD
STATE OF NEW JERSEY DEBARRED LIST AFFIDAVIT
State of New Jersey County of ______________ SS:
I, _________________________________, of the __________________________________________ (name of affiant) (name of municipality)
In the County of _______________________________ and State of ___________________________ of full age, being duly sworn according to law on my oath depose and say that:
I am _______________________________ of the firm of ______________________________________ (title of position) (name of firm)
______________________________________________ the Bidder making this Proposal for the bid entitled __________________________________, and that I executed the said Proposal with full authority to do so; that said Bidder at the time of making this Bid is not included on the State of New Jersey, State Treasurer’s List of Debarred, Suspended and Disqualified Bidders: and that all statements contained in said Proposal and in this affidavit are true and correct, and made with the full knowledge that the Township of Stafford, as Owner, relies upon the truth of statements contained in said Proposal and in the statements contained in this affidavit in awarding the contract for the said project.
The undersigned further warrants that should the name of the firm making this Bid appear on the State Treasurer’s List of Debarred, Suspended and Disqualified Bidders at any time prior to, and during the life of this Contract, including Guarantee Period, that the Township of Stafford shall be immediately notified by the signatory of this Eligibility Affidavit.
The undersigned understand that the firm making the bid as Contractor is subject to disbarment, suspensions and/or disqualification in contracting with the State of New Jersey, if the Contractor, pursuant to N.J.A.C. 7:15.2, commits any of the acts listed therein, and as determined according to applicable law and regulations.
(Type or print name and address of Contractor)
Subscribed and sworn before me this ______ day of ___________, 2 ________.
(Notary Public)
My Commission expires:
(Seal)
(Affiant)
(Print name & title of affiant)
(Corporate Seal)
| County of: |
| name of affiant: |
| name of municipality: |
| full age being duly sworn according to law on my oath depose and say that: |
| and State of: |
| title of position: |
| name of firm: |
| the Bidder making this Proposal for the bid: |
| and that I executed the said Proposal with: |
| Type or print name and address of Contractor: |
| Subscribed and sworn before me this: |
| 2: |
| undefined: |
| Affiant: |
| Print name title of affiant: |
File details come from the government source that posted it. Updated .