Appendix_C_CERTIFICATION_REGARDING_DEBARMENT.pdf
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- 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 required for the City of Sarasota's Advanced Traffic Management System Design Continuing Services procurement under Florida's Consultant's Competitive Negotiation Act (CCNA) and 2 CFR Part 200. The certification form requires contractors and subcontractors to attest that they are not presently debarred, suspended, proposed for debarment, or voluntarily excluded from covered transactions by any Federal department or agency. Contractors must also certify that within the five-year period preceding contract entry, they have not had any public transactions terminated for cause or default, and have not been convicted of or had civil judgments rendered against them for fraud, criminal offenses, antitrust violations, embezzlement, theft, forgery, bribery, falsification, or destruction of records in connection with public transactions. The certification is a material representation of fact upon which reliance is placed when the transaction is made or entered into.
The form requires signatures and identification information from both the contractor and any subrecipients, including name, title, street address, city, state, and zip code. The contractor must understand and agree that this certification language must be included in all award documents for subawards at all tiers, including subcontracts, subgrants, contracts under grants, loans, and cooperative agreements, with all contractors and sub-contractors required to certify and disclose accordingly. This certification is a mandatory federal compliance requirement for the FEMA-funded project, ensuring that all parties involved in the Regional ATMS design and engineering services meet federal standards regarding integrity and eligibility to participate in federally funded contracts.
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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 .