9_-_Federal_Debarment_Certification.docx
DOCX document 35 KB Posted
- Solicitation number
- 26-015QP
- Issued by
- King County, Washington
About this file
This is a Federal Debarment Certification form issued by the Seattle Department of Transportation (SDOT) Consultant Contracts Unit, required for the 26-015QP AAC Roosevelt Pinehurst Way NE Project Construction contract in Washington State. The certification applies to prospective primary participants submitting qualifications for Construction Management (CM) services on this pavement preservation project. The project involves hiring key staff including one full-time Resident Engineer, two full-time Construction Inspectors, one part-time Change Order/Scheduling specialist, one part-time Office Engineer, one part-time Document Control/Contract Administrator, and one part-time Outreach support member. The estimated construction contract value is $11 million, with pre-construction services beginning in December 2026 and construction spanning December 2026 through January 2028, followed by closeout activities through June 2028. The project will be executed in accordance with FHWA-reviewed Plans and Specifications.
The certification requires prospective participants to attest that they and their principals are not currently debarred, suspended, or excluded from federal covered transactions; have not been convicted of fraud, criminal offenses, or antitrust violations within the preceding three years; are not currently indicted or charged with relevant offenses; and have not had public transactions terminated for cause or default within the three-year period preceding the proposal. The project was awarded an $8.7 million PSRC preservation grant, with federal funding contingent upon successful project initiation and completion. Prospective consultants must certify their eligibility to proceed or notify the contracting agency of any inability to meet these requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 26-015QP_-_RFQ.docx | DOCX document | |
| Reference_,_Related_Experience_and_Examples_of_Work.xlsx | XLSX spreadsheet | |
| 4.2_-_Bidder_Questionaire.pdf | ||
| 1_-_ConsultantQuestionnaire-Federal.docx | DOCX document | |
| 8.1_-_Federal_Lobbying_Certification.docx | DOCX document | |
| 4.1_-_SBE_Plan.docx | DOCX document | |
| 8.2_-_Disclosure_of_Lobbying_Activities.pdf | ||
| Insurance_Exhibit.docx | DOCX document | |
| WSDOTNegotiatedHourlyRateContract.pdf |
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Text version
SDOT, Consultant Contracts Unit Certification Regarding Debarment, Suspension and Other Responsibility Matters
I. The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals:
A. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;
B. Have not within a three-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission or 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 statues or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (I) (B) of this certification; and
D. Have not within a three (3) year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default.
II. Where the prospective primary participant is unable to certify to any of the statement
Consultant (Firm):
(Date) (Signature) President or Authorized Official of Consultant
Revised: September 2014 Certification of Debarment image1.png
File details come from the government source that posted it. Updated .