CERTIFICATION_AND_CONTRACT_OFFER.pdf
PDF 14 KB Posted
- Attached to
- Facilitation of Public Meetings or Events
- Solicitation number
- 2020.075P
- Issued by
- Washington County, Oregon
About this file
The document is a Certification and Contract Offer form from an unspecified county, likely in Oregon, related to a public engagement and community listening initiative. The form is designed for potential contractors to certify their eligibility and compliance with government contracting requirements, specifically addressing potential disqualifying factors such as previous contract defaults, criminal history, or current legal challenges. The form requires proposers to attest that they are not currently debarred, suspended, or ineligible from submitting proposals, and have not been convicted of fraud, antitrust violations, or other specified criminal offenses within the past three years.
The certification document serves as a crucial screening mechanism for potential contractors, ensuring that only responsible and ethical entities are considered for county contracts. It provides a self-reporting mechanism where proposers must disclose any potential legal or contractual issues, with the understanding that such disclosures do not automatically disqualify them from consideration. The form includes provisions for proposers to provide explanations if they cannot fully certify their compliance, and emphasizes that the county will consider these certifications when determining a proposer's overall responsibility for contract award.
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Other files
| File | Type | Posted |
|---|---|---|
| Facilitation_of_Public_Meetings_or_Events.pdf | ||
| INSURANCE_REQUIREMENTS_SUMMARY_FORM_PP.pdf | ||
| SAMPLE_CONTRACT.pdf |
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Text version
CERTIFICATION AND CONTRACT OFFER
Rev. 5/04/20
The undersigned after having carefully examined the Special Instructions, Project/Proposal Information, General Instructions and all other related material and information, agrees to comply with the terms set forth in those documents and to furnish the services described at the rates proposed.
The proposer certifies to the best of its knowledge and belief that neither it nor any of its principals:
1. Are presently debarred, suspended, proposed for debarment, or declared ineligible from submitting proposals by any federal, state or local entity, department or agency;
2. Have within a three-year period preceding this offer, been convicted or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performance of a public (Federal, state or local) contract or subcontract; violation of Federal or state antitrust statues relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statement, tax evasion, or receiving stolen property;
3. Are presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph 2 of this certification;
4. Have within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal, state or local public agency.
The proposer will provide immediate written notice to the County if at any time prior to contract award, the proposer learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.
Where proposer is unable to certify to any of the statements in this certification, or solicitation document, proposer shall attach an explanation to this offer. A certification that any of the items in the above paragraphs exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the proposer’s responsibility.
SIGNED BY:
DATE:
PRINTED NAME:
TITLE:
FIRM:
E-MAIL ADDRESS:
MAILING ADDRESS:
PHYSICAL ADDRESS:
CITY, STATE and ZIP
PHONE: (AREA CODE)
File details come from the government source that posted it. Updated .