ATTM 003.pdf

PDF 153 KB Posted

Attached to
MEDICAID DATA CONSULTING SERVICES
Solicitation number
5400023190
Issued by
Richland County, South Carolina

About this file

This is a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion form for lower tier covered transactions related to South Carolina's Medicaid Data Consulting Services procurement. The document requires prospective lower tier participants to certify that they and their principals are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any federal department or agency. As a lower tier participant covered under 45 CFR Part 76, bidders must sign and submit this certification with their proposals, confirming their eligibility status to the best of their knowledge and belief.

Any prospective lower tier participant unable to certify compliance must attach an explanation to their proposal. Bidders further agree that by submitting this proposal, they will include this certification clause without modifications in all lower tier covered transactions and in all subsequent solicitations for lower tier covered transactions. This certification is a mandatory compliance requirement for participation in this South Carolina Medicaid Data Consulting Services opportunity.

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Text version

ATTACHMENT 003

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – Lower Tier Covered Transactions

(To Be Supplied to Lower Tier Participants)

By signing and submitting this lower tier proposal, the prospective lower tier participant, as defined in 45 CFR Part 76, certifies to the best of its knowledge and belief that it and its principals:

a) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.

b) where the prospective lower participant is unable to certify to any of the above, such prospective participant shall attach an explanation to this proposal.

The prospective lower tier participant further agrees by submitting this proposal that it will include this clause entitled Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion-Lower Tier Covered Transactions without modifications in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

Authorized Signature

Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion – Lower Tier Covered Transactions

File details come from the government source that posted it. Updated .