Debarment Certification~15.pdf

This document is a Debarment Certification form for South Coast Transit Management, Inc., acting as an agent/operator for the Southeastern Regional Transit Authority. The certification requires the proposer to attest to four key compliance statements, including that the firm and its principals: are not currently debarred or suspended from government transactions; have not been convicted of fraud or criminal offenses in the past three years related to public transactions; are not currently indicted or charged with specific criminal or civil offenses; and have not had public transactions terminated for cause or default within the past three years.

The form provides a template for a firm to complete, with spaces for the firm name, an authorized official's signature, title, and date. The certification requires the proposer to affirm the truthfulness and accuracy of the statements submitted. This document appears to be a standard pre-qualification form designed to ensure the integrity and reliability of potential contractors or service providers in the transit industry, specifically for transactions involving the Southeastern Regional Transit Authority and potentially other government entities.