Aroostook Ties FRA Suspension and Debarment Certificate.doc
DOC document 27 KB Posted
- Attached to
- 26500 New treated rail cross-ties
- Solicitation number
- RFQ - 17E - 11042100000000001051
- Issued by
- Androscoggin County, Maine
About this file
This is a Suspension and Debarment Certification form issued by the Maine Department of Transportation for a potential prime contractor regarding the Aroostook Ties project for the procurement of 26,500 new treated rail cross-ties. The certification requires the contractor to confirm that it and its principals are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency. The contractor must also certify that within the three-year period preceding the proposal, it has not been convicted of or had a civil judgment rendered against it for fraud, criminal offenses, antitrust violations, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property in connection with public transactions or contracts.
The certification additionally requires the contractor to confirm that it is not presently indicted for or criminally or civilly charged with commission of any enumerated offenses and has not had one or more public transactions terminated for cause or default within the three-year period preceding the proposal. The contractor must agree to provide immediate written notice to the Department if its certification becomes erroneous due to changed circumstances, and each subcontractor or vendor must provide similar updated notice through the potential contractor, who bears sole responsibility for collecting, updating, and submitting information to the Department. The contractor certifies the truthfulness and accuracy of submitted statements under the provisions of 31 U.S.C. Sections 3801 et seq.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2011 Tie_specs[1][1].doc | DOC document | |
| Aroostook ties FRA Clauses.docm | DOCM document | |
| Additional Info Terms_ | — | |
| Conditions and Instructions to Bidders1.doc | DOC document | |
| Aroostook Ties FRA Lobbying Certification.doc | DOC document |
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Text version
Maine Department of Transportation
CERTIFICATION OF A POTENTIAL PRIME CONTRACTOR (DIRECT THIRD PARTY CONTRACTOR) REGARDING DEBARMENT, SUSPENSION, AND OTHER RESPONSIBILITY MATTERS
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 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 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 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 (2) of this certification; and
4.
Have not within a three-year period preceding this proposal or bid had one or more public transactions (Federal, State or local) terminated for cause or default.
5.
The potential Contractor agrees to provide the Department with immediate written notice if, at any time, it learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. Each Subcontractor or Vendor for the potential Contractor shall provide the same updated notice to the potential Contractor and the potential Contractor shall be solely responsible for collecting, updating and submitting updated information to the Department.
NOTE: If for any reason the potential Contractor is unable to certify to any of the statements in this certification, the potential Contractor shall attach an explanation to this certification.
THE POTENTIAL CONTRACTOR, ________________________________, CERTIFIES OR AFFIRMS THE TRUTHFULLNESS AND ACCURACY OF THE CONTENTS OF THE STATEMENTS SUBMITTED ON OR WITH THIS CERTIFICATION AND UNDERSTANDS THAT THE PROVISIONS OF 31 U.S.C. SECTIONS 3801 ET SEQ. ARE APPLICABLE THERETO.
(Company Name)
DATE:___________________
By:__________________________________
Its __________________________________
File details come from the government source that posted it. Updated .