Attachment C-Adams 12 Debarment Certification.pdf

This document is a Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion form from Adams 12 Five Star Schools for a lower tier covered transaction related to a solicitation (RFP 25-027). The certification is required for all agreements over $25,000 between the district and vendors, including any subcontractors, and is mandated by regulations implementing Executive Orders 12549 and 12689, specifically addressing Debarment and Suspension.

The certification requires prospective lower tier participants to confirm they are not currently debarred, suspended, or excluded from participation in federal transactions. Key obligations include providing immediate written notice if certification status changes, avoiding transactions with debarred or suspended entities, and including the debarment certification clause in all lower tier covered transactions. The document provides instructions for completion and outlines potential consequences for knowingly submitting an erroneous certification, which may include pursuit of remedies such as suspension or debarment by the relevant government department or agency.