APPENDIX_H_-_Debarment_and_Suspension.pdf
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- Solicitation number
- HRA_RHSP05022022
- Issued by
- Sacramento County, San Francisco City, California
About this file
This document is an Appendix H Certification Regarding Debarment and Suspension from the County of Sacramento, which requires contractors to certify their eligibility for federal funding and public transactions. The certification mandates that contractors attest they are not currently debarred, suspended, or excluded from federal transactions, have not been convicted of fraud or criminal offenses related to public transactions within the past three years, and are not currently indicted or criminally charged by governmental entities.
The document outlines specific compliance requirements, including an obligation to notify the County of Sacramento within ten days of receiving any notification of potential debarment, suspension, indictments, or public transaction terminations. Contractors must also obtain similar certifications from subcontractors funded through the agreement and agree to immediately terminate any subcontractor's services if they are found to be ineligible or voluntarily excluded from covered transactions by federal departments or agencies. This certification is part of the County of Sacramento's broader Health Reimbursement Arrangement (HRA) Plan procurement process, which seeks to ensure vendor integrity and compliance with federal regulations.
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APPENDIX H - COUNTY OF SACRAMENTO
CERTIFICATION REGARDING DEBARMENT AND SUSPENSION
CONTRACTOR agrees to comply with 5 U.S.C. 1501-1508, 31 U.S.C. §1352 and 45 CFR Part 76.100 (Code of Federal Regulations), which provides that federal funds may not be used for any contracted services, if CONTRACTOR is debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency.
I (We) certify to the best of my (our) knowledge and belief, that CONTRACTOR named below 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 a three (3)-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 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 or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (2) of this certification; and
4. Have not within a three (3)-year period preceding this application/proposal/agreement had one or more public transactions (Federal, State, or local) terminated for cause or default.
5. Shall notify COUNTY OF SACRAMENTO within ten (10) days of receipt of notification that CONTRACTOR is subject to any proposed or pending debarment, suspension, indictments or termination of a public transaction.
6. Shall obtain a certification regarding debarment and suspension from all its subcontractors that will be funded through this Agreement.
7. Hereby agree to terminate immediately, any subcontractor’s services that will be/are funded through this Agreement, upon discovery that the subcontractor is ineligible or voluntarily excluded from covered transactions by any federal department or agency.
Your Name:_________________________________
Your Company Name:__________________________
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