ATTACHMENT J - SUSPENSION AND DEBARMENT CERTIFICATION.pdf
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- Attached to
- RFP 24-USDA-1 Broadline Groceries and the Storage and Distribution of USDA Food Products and Supplie
- Solicitation number
- S-X03101-00011019
- Issued by
- Hood River County, Oregon
About this file
This document is a Suspension and Debarment Certification required for a state and local contract opportunity in Oregon. The contract opportunity is for retaining a year-round distributor to provide broad-line grocery supplies for the production of meals in Oregon Child Development Coalition's Head Start Centers throughout the state. The contract is subject to federal regulations regarding debarment and suspension, and the certification must be completed for new and renewal contract years exceeding $100,000. The contract opportunity has an assigned ID of 66a0e095f11f1244d3034176.
The document outlines the requirements for the certification, including that the prospective participant cannot be debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation. The prospective participant must also agree to not knowingly enter into any lower-tier covered transactions with debarred or suspended parties. Failure to provide an accurate certification may result in additional remedies, including suspension and/or debarment.
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ATTACHMENT J
SUSPENSION AND DEBARMENT CERTIFICATION
NOTE: This cer�ficate must be completed for all new and renewal contract years when the contract exceeds $100,000.
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION –
LOWER TIER COVERED TRANSACTIONS
This cer�fica�on is required by the regula�ons implemen�ng Execu�ve Order 12549, Debarment and Suspension, Title 7 CFR Part 3017, Sec�on 3017.510, Par�cipants' responsibili�es. The regula�ons were published as Part IV of the January 30, 1989, Federal Register (pages 4722-4733). Copies of the regula�ons may be obtained by contac�ng the Department of Agriculture agency with which this transac�on originated.
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS BELOW)
(1) The prospec�ve lower �er par�cipant cer�fies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from par�cipa�on in this transac�on by any Federal department or agency.
(2) Where the prospec�ve lower �er par�cipant is unable to cer�fy to any of the statements in this cer�fica�on, such prospec�ve par�cipant shall atach an explanation to this proposal.
Organiza�on Name PR/Award Number or Project Name
Names(s) and Title(s) of Authorized Representa�ve(s)
Signature(s) Date
Suspension and Debarment Instruc�ons for Cer�fica�on
1. By signing and submitting this form, the prospective lower tier participant is providing the certification set out on the reverse side in accordance with these instructions.
2. The cer�fica�on in this clause is a material representa�on of fact upon which reliance was placed when this transac�on was entered into. If it is later determined that the prospec�ve lower �er par�cipant knowingly rendered an erroneous cer�fica�on, in addi�on to other remedies available to the Federal Government, the department or agency with which this transac�on originated may pursue available remedies, including suspension and/or debarment.
3. The prospec�ve lower �er par�cipant shall provide immediate writen no�ce to the person to whom this proposal is submited if at any �me the prospec�ve lower �er par�cipant learns that its cer�fica�on was erroneous when submited or has become erroneous by reason of changed circumstances.
4. The terms "covered transac�on," "debarred," "suspended," "ineligible," "lower �er covered transaction,"
"participant" "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Defini�ons and Coverage sec�ons of rules implemen�ng Execu�ve Order 12549. You may contact the person to which this proposal is submited for assistance in obtaining a copy of those regula�ons.
5. The prospec�ve lower �er par�cipant agrees by submi�ng this form that, should the proposed covered transac�on be entered into, it shall not knowingly enter into any lower �er covered transac�on with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from par�cipa�on in this covered transac�on, unless authorized by the department or agency with which this transac�on originated.
6. The prospec�ve lower �er par�cipant further agrees by submi�ng this form that it will include this clause �tled
"Cer�fica�on Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modifica�on, in all lower �er covered transac�ons and in all solicita�ons for lower �er covered transac�ons.
7. A par�cipant in a covered transac�on may rely upon a cer�fica�on of a prospec�ve par�cipant in a lower �er covered transac�on that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A par�cipant may decide the method and frequency by which it determines the eligibility of its principals. Each par�cipant may, but is not required to, check the Non-procurement List.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the cer�fica�on required by this clause. The knowledge and informa�on of a par�cipant are not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
9. Except for transac�ons authorized under paragraph 5 of these instruc�ons, if a par�cipant in a covered transac�on knowingly enters into a lower �er covered transac�on with a person who is suspended, debarred, ineligible, or voluntarily excluded from par�cipa�on in this transaction, in addi�on to other remedies available to the Federal Government, the department or agency with which this transac�on originated may pursue available remedies, including suspension and/or debarment.
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