Certification_Regarding_Debarment.pdf
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- Attached to
- Solar Canopy for Employee Parking Lot
- Solicitation number
- RTSX-260018-DS
- Issued by
- Alachua County, Graceville City, Florida
About this file
This document is a Certification Regarding Debarment form from the U.S. Department of Transportation (U.S. DOT) and the Office of Management and Budget (U.S. OMB). The certification applies to federal contracts of $25,000 or more, or contracts requiring a federally mandated audit, and requires contractors to verify their eligibility to participate in federally assisted awards.
The document mandates that contractors confirm they are not debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded, or disqualified from participation in any federally assisted award. By signing the form, the bidder or proposer certifies the accuracy of this information and agrees to comply with federal regulations. The form allows potential consequences if a knowingly false certification is made, including potential suspension and/or debarment by federal authorities, with the City retaining additional remedies.
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Text version
CERTIFICATION REGARDING DEBARMENT
The Contractor shall comply and facilitate compliance with U.S. DOT regulations, “Nonprocurement Suspension and Debarment,” 2 C.F.R. part 1200, which adopts and supplements the U.S. Office of Management and Budget (U.S. OMB) “Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement),” 2 C.F.R. part 180. These provisions apply to each contract at any tier of $25,000 or more, and to each contract at any tier for a federally required audit (irrespective of the contract amount), and to each contract at any tier that must be approved by an FTA official irrespective of the contract amount. As such, the Contractor shall verify that its principals, affiliates, and subcontractors are eligible to participate in this federally funded contract and are not presently declared by any Federal department or agency to be:
a) Debarred from participation in any federally assisted Award;
b) Suspended from participation in any federally assisted Award;
c) Proposed for debarment from participation in any federally assisted Award;
d) Declared ineligible to participate in any federally assisted Award;
e) Voluntarily excluded from participation in any federally assisted Award; or
f) Disqualified from participation in ay federally assisted Award.
By signing and submitting its bid or proposal, the bidder or proposer certifies as follows:
The certification in this clause is a material representation of fact relied upon by CITY. If it is later determined by CITY that the bidder or proposer knowingly rendered an erroneous certification, in addition to remedies available to CITY, the Federal Government may pursue available remedies, including but not limited to suspension and/or debarment. The bidder or proposer agrees to comply with the requirements of 2 C.F.R. part 180, subpart C, as supplemented by 2 C.F.R. part 1200, while this offer is valid and throughout the period of any contract that may arise from this offer. The bidder or proposer further agrees to include a provision requiring such compliance in its lower tier covered transactions.
Company:
Name: ___________________________________________________________________________________________
Title: ____________________________________________________________________________________________
Signature: Date: ______________
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