8-H. CERTIFICATION REGARDING DEBARMENT.pdf
PDF 97 KB Posted
- Attached to
- 2025 Driver Feedback Sign Equipment
- Solicitation number
- 269- 2026-152
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This document is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters for ITB# 269-2025-152, which appears to be related to 2025 Driver Feedback Sign Equipment. The certification form requires bidders, contractors, or subcontractors to disclose and certify their legal and ethical standing in public contracting.
The certification requires disclosure of any debarment, suspension, criminal convictions, civil judgments, or public transaction terminations within the past three years. Specifically, the document asks bidders to confirm they are not currently debarred or suspended from federal or state transactions, have not been convicted of fraud or criminal offenses in public contracting, are not currently under criminal or civil indictment, and have not had public transactions terminated for cause. The form provides two options: certifying compliance or indicating an inability to certify, with the latter requiring an attached explanation. False statements on this certification may result in proposal rejection, contract termination, or potential criminal prosecution.
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Text version
2025 DRIVER FEEDBACK SIGN EQUIPMENT
ITB# 269-2025-152
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
The bidder, contractor, or subcontractor, as appropriate, certifies to the best of its knowledge and belief that neither it nor any of its officers, directors, or managers who will be working under the Contract, or persons or entities holding a greater than (ten percent) 10% equity interest in it (collectively “Principals”):
1. Are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal or state department or agency in the United States;
2. Have within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state anti-trust or procurement statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
3. Are presently indicted for or otherwise criminally or civilly charged by a government entity, (federal, state or local) with commission of any of the offenses enumerated in paragraph 2 of this certification;
and
4. Have within a three-year period preceding this application/proposal had one or more public transactions
(federal, state or local) terminated for cause or default.
I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award or in some instances, criminal prosecution.
I hereby certify as stated above:
(Print Name) Signature
Title Date
I am unable to certify to one or more the above statements. Attached is my explanation. [Check box if applicable]
(Print Name) Signature
File details come from the government source that posted it. Updated .