DCSD-CIP Intercom Installer Prequalification RFQ-Exhibit C-Certification re Debarment _ Suspension.pdf
PDF 100 KB Posted
- Attached to
- Paging & Intercom Replacement Services
- Solicitation number
- 014-25 RFQual
- Issued by
- Eagle County, Colorado
About this file
This document is a Certification Regarding Debarment and Suspension form (RFQ Exhibit C) for the Douglas County School District's (DCSD) Paging & Intercom Replacement Services procurement. The form requires respondents to certify their legal and ethical standing by confirming they are not currently debarred, suspended, or excluded from government transactions, have not been convicted of fraud or criminal offenses related to public transactions within the past three years, are not currently indicted or criminally charged, and have not had public transactions terminated for cause or default.
The certification serves as a critical pre-qualification document for potential intercom installers seeking to be considered for future paging and intercom replacement projects scheduled between 2025 and 2028. By completing this form, bidders are attesting to their business integrity and compliance with government contracting regulations, which is a standard requirement to ensure only reputable firms are eligible to participate in the school district's technology infrastructure improvement initiatives.
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Text version
Certification Regarding Debarment and Suspension
The respondent to this BID/RFP 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 covered transactions by any federal department or agency;
B. Have not within a three year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
C. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or Local) with commission of any of the offenses enumerated in paragraph (B) of this certification; and
D. Have not within a three-year period preceding this application/proposal had one or more public transactions (Federal, State, or Local) terminated for cause or default.
Where the respondent is unable to certify to any of the statements in this certification, he or she shall attach an explanation to this application.
Signature of Official:____________________________
Name (typed):__________________________________
Title:_________________________________________
Firm:_________________________________________
Date:_________________________________________
QuentinRockwell Text Box RFQ Exhibit C
File details come from the government source that posted it. Updated .