9-Attachment 8 Certification re Debarment Suspension.docx
DOCX document 21 KB Posted
- Solicitation number
- RFP-ED2502
- Issued by
- Milwaukee County, Cornell City, Wisconsin
About this file
This document is a Certification Regarding Debarment and Suspension form related to a state and local contract opportunity for the acquisition and development of properties located at 4902 and 4910-4912 South Packard in Cudahy, Wisconsin. The certification requires the applicant to attest that their principals, owners, officers, shareholders, key employees, directors, and member partners meet specific legal and ethical standards regarding past and current legal and transactional conduct with federal, state, and local government entities.
The certification specifically requires the applicant to confirm they have not been debarred, suspended, or excluded from government transactions; have not been convicted of fraud or criminal offenses related to public transactions within the past three years; are not currently under criminal indictment; and have not had public transactions terminated for cause or default during the preceding three-year period. The document provides space for an authorized signature, date, printed name, title, and company information to validate the certification's accuracy and completeness.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-Attachment 4 Exceptions.docx | DOCX document | |
| 1-ATTACHMENT A-C.pdf | ||
| 10-RFP-ED2502 Final.pdf | ||
| 2-Attachment 1 Proprietary Info Disclosure Form.docx | DOCX document | |
| 8-Attachment 7 Conflict of Interest.docx | DOCX document | |
| 7-Attachment 6 Vendor Information Sheet.docx | DOCX document | |
| 4-Attachment 3 Sworn Statement of Proposer.docx | DOCX document | |
| 6-Attachment 5-Insurance and Indemnity.docx | DOCX document | |
| 3-Attachment 2 EEOC Compliance.docx | DOCX document |
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Text version
ATTACHMENT 8
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
The applicant certifies to the best of its knowledge and belief that its principals, owners, officers, shareholders, key employees, directors and member partners: (1) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency; (2) have not within a three-year period preceding the date of 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 antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; (3) are not presently indicted for or otherwise criminally charged by a governmental entity (Federal, State or local) with commission of any of the offenses enumerated in (2) of this certification; and (4) have not within a three-year period preceding the date of this proposal had one or more public transactions (Federal, State or local) terminated for cause or default.
Authorized Signature: Date:
Printed Name: Title:
Company:
File details come from the government source that posted it. Updated .