Appendix_C_CERTIFICATION_REGARDING_DEBARMENT.pdf
PDF 775 KB Posted
- Attached to
- Advanced Traffic Management System Design Continuing Services State and local contract opportunity
- Solicitation number
- 26-18SS
- Issued by
- Sarasota County, Siesta Key CDP, Florida
About this file
This is a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion form associated with the City of Sarasota, Florida's Advanced Traffic Management System Design Continuing Services procurement under the Consultant's Competitive Negotiation Act (CCNA) and 2 CFR Part 200. The certification requires contractors and all principals to affirm they are not currently debarred, suspended, proposed for debarment, or voluntarily excluded from covered federal transactions. Additionally, contractors must certify that within the five-year period preceding contract entry, they have not had public transactions terminated for cause or default, and have not been convicted of or had civil judgments rendered against them for fraud, criminal offenses related to public transactions, violation of antitrust statutes, or crimes including embezzlement, theft, forgery, bribery, falsification of records, making false statements, or receiving stolen property. The form requires signature, name, title, and address information for both the contractor and any subrecipients.
The certification document mandates that contractors include this language in all subaward documents at every tier, including subcontracts and subgrants, with all contractors and subcontractors required to certify and disclose accordingly. The City of Sarasota emphasizes that this certification is a material representation of fact upon which reliance was placed when the transaction was made or entered into, making it a binding commitment for participation in this FEMA-funded project. This form is mandatory for all proposers responding to the Regional ATMS continuing services contract opportunity, which offers a one-year initial term with two optional one-year renewals and establishes a library of multiple qualified engineering firms.
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Text version
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY
and VOLUNTARY EXCLUSION
The Contractor certifies, to the best of its knowledge and belief, that it and its principals:
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 the five-year period preceding entering into this Agreement had one or more public transactions (Federal, State, or Local) terminated for cause or default; and
3. Have not within the five-year period preceding entering into this proposal been convicted of or had a civil judgment rendered against them for:
a) the commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or Local) transaction or a contract under public transaction, or b) 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.
The Contractor understands and agrees that the language of this certification must be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, contracts under grants, loans, and cooperative agreements) and that all contractors and sub-contractors must certify and disclose accordingly.
The Contractor further understands and agrees that this certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.
Signature:
Name: Contractor’s Name:
Title:
Street Address:
City, State, Zip:
Date:
APPENDIX C
| Signature: |
| Name: |
| Title: |
| Subrecipients Name: |
| Street Address: |
| City State Zip: |
| Date: |
File details come from the government source that posted it. Updated .