8-I. Certification Regarding Debarment.docx

DOCX document 31 KB Posted

Attached to
Pavement Marking Materials
Solicitation number
269- 2026-211
Issued by
Mecklenburg County, Charlotte City, North Carolina

About this file

This is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters document issued by the Charlotte Department of Transportation (CDOT) in North Carolina for ITB 269-2026-211, a pavement marking materials procurement. CDOT maintains approximately 690,000 linear feet of pavement markings annually throughout the City, including center lines, lane lines, edge lines, crosswalks, stop bars, and approximately 850 pavement arrows that provide guidance to motorists, cyclists, and pedestrians. All materials procured under this contract must meet North Carolina Department of Transportation specifications.

The certification requires bidders, contractors, and subcontractors to affirm that neither they nor their officers, directors, managers, or persons holding greater than 10% equity interest have been debarred, suspended, or excluded from federal or state transactions; have not been convicted of or had civil judgments rendered against them for fraud or criminal offenses related to public contracts within the preceding three years; are not currently indicted or criminally or civilly charged for such offenses; and have not had public transactions terminated for cause or default within the preceding three years. Bidders unable to certify to these statements must provide a written explanation. False certification may result in proposal rejection, contract termination, or criminal prosecution.

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Other files

File Type Posted
1-A. Bonfire Instructions Procurement Portal FINAL.pdf PDF
7-G. Exceptions Form.docx DOCX document
5-E. Non-Discrimination Form.docx DOCX document
6-F. References Form.docx DOCX document
2-1. ITB269-2026-211 Bid Submission Form.docx DOCX document
3-A. Pavement+Marking+Pricing+Sheet.xlsx XLSX spreadsheet
4-C. ITB269-2026-211 Sample Contract.docx DOCX document
9-B. ITB 269-2026-211 Pavement Marking Materials.docx DOCX document

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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

Title

Date

ITB 269-2026-211

Pavement Marking Materials

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