ATTM 003t.docx

DOCX document 30 KB Posted

Attached to
CAHPS SURVEY
Solicitation number
5400028011
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, referencing 45 CFR Part 76. The document requires lower tier participants to certify that neither they nor their principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in federal transactions.

The certification requires participants who cannot certify to the above conditions to attach an explanation to their proposal. Participants must also agree to include this certification clause without modification in all subsequent lower tier covered transactions and solicitations. The document requires an authorized signature for validation.

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Text version

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

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