8-H. CERTIFICATION REGARDING DEBARMENT.pdf
PDF 145 KB Posted
- Attached to
- CFD Entry Level Testing and Promotional Process Administration Services State and local contract opportunity
- Solicitation number
- 269- 2026- 208
- Issued by
- Mecklenburg County, Charlotte City, North Carolina
About this file
This is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters form for the Charlotte Fire Department's entry-level testing and promotional process administration services contract in North Carolina. The certification requires bidders, contractors, and subcontractors to confirm that neither they nor their principals—including officers, directors, managers, or persons holding greater than 10% equity interest—are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal or state department or agency. Additionally, signatories must attest that they have not been convicted of or had civil judgments rendered against them within the three-year period preceding the proposal for fraud, criminal offenses, anti-trust violations, embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property in connection with public transactions or contracts.
The certification further requires attestation that the bidder is not presently indicted for or criminally or civilly charged with any offenses enumerated in the document and has not had one or more public transactions terminated for cause or default within the three-year period preceding the proposal. Signatories must acknowledge that a false statement on the certification may result in rejection of the proposal, termination of any award, or criminal prosecution. The form provides space for the certifying official to print their name, sign, provide their title, and date the certification, with an optional checkbox and explanation section for any inability to certify to one or more statements.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 9-I. BYRD ANTI-LOBBYING CERTIFICATION.pdf | ||
| 2-K. Pricing Worksheet - RFP 269-2026-208.xlsx | XLSX spreadsheet | |
| 7-J. Companys Background Response Additional Questions - RFP 269-2026-208.docx | DOCX document | |
| 10-C. Sample Services Contract - RFP 269-2026-208.docx | DOCX document | |
| 1-A. Bonfire Instructions Procurement Portal FINAL.pdf | ||
| 3-D. Proposal Submission Form.pdf | ||
| 5-F. Exceptions Form.pdf | ||
| 6-G. CBI Form 3.pdf | ||
| 11-B. RFP 269-2026-208 - CFD Entry Level Testing and Promotional Process.pdf | ||
| 4-E. References Form.pdf |
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Text version
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
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS
File details come from the government source that posted it. Updated .