9-G. DEBARMENT CERT.pdf
PDF 123 KB Posted
- Attached to
- Building and Grounds Maintenance State and local contract opportunity
- Solicitation number
- 269-2026-146
- Issued by
- Mecklenburg County, Cleveland Town, North Carolina
About this file
This document is a Certification Regarding Debarment, Suspension, and Other Responsibility Matters for Project 269.2026.146, designed to verify the legal and ethical standing of a bidder, contractor, or subcontractor. The certification requires the applicant to attest that neither they nor their key personnel (officers, directors, managers, or entities with over 10% equity interest) have been debarred, suspended, or excluded from federal or state transactions.
The certification specifically requires disclosure of any criminal or civil judgments within the past three years related to fraud, public transaction violations, anti-trust statutes, embezzlement, theft, forgery, bribery, falsification of records, or making false statements. The document provides two signature lines - one for certifying compliance and another for indicating an inability to certify, which would require an attached explanation. False statements on this certification may result in proposal rejection, award termination, or potential criminal prosecution.
View the file
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| 11-P. Central District Aerials, 2026.pdf | ||
| 13-Price Schedule, Central District.xlsx | XLSX spreadsheet | |
| 4-I. CBI FORM 3.pdf | ||
| 1-A. Bonfire Instructions Procurement Portal FINAL (3).pdf | ||
| 10-O. Center City East Aerials, 2026.pdf | ||
| 14-K. Licensing and Certifications.pdf | ||
| 3-E. References Form.pdf | ||
| 5-H. ANTI-LOBBYING CERT.pdf | ||
| 8-D. Proposal Submission Form.pdf | ||
| 15-B. RFP.pdf | ||
| 16-C. Sample Services Contract.pdf | ||
| 7-J. EXCEPTIONS FORM.pdf | ||
| 12-Price Schedule, Center City East.xlsx | XLSX spreadsheet | |
| 2-F. Company Background Additional Questions.pdf | ||
| 6-L. Equipment List.pdf |
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Text version
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER
RESPONSIBILITY MATTERS
PROJECT 269.2026.146
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 .