Exhibit A _ Certification_Form.docx

DOCX document 33 KB Posted

Attached to
2001-26 RFQP-CM/GC GTFI Bobby Dodd Stadium Fan Experience Renovation
Solicitation number
PE-50300-RFP-2025-000000226
Issued by
Fulton County, Georgia

About this file

This document is a Certification Form for a proposal submitted to Gordon State College for Project PPV-89-1201, involving a Student Activity & Recreation Center. The certification form requires the proposing firm's authorized representative to swear and attest to several key representations, including the truthfulness of the submitted proposal information, the firm's clean professional history, and lack of criminal convictions or professional disciplinary actions in the preceding five years. The proposer certifies they have not been suspended, debarred, or defaulted on government contracts, and authorizes the owner to verify all submitted information.

The certification form includes critical legal acknowledgments, with the signatory affirming that any material false statement or omission could result in disqualification. The document requires a notarized signature, providing an additional layer of legal verification and accountability for the proposer's claims. By executing this form, the proposing firm explicitly consents to the owner's right to investigate and validate all information presented in their proposal, underscoring the importance of transparency and integrity in the government contracting process.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Exhibit A

CERTIFICATION FORM

I, _____________________________, being duly sworn, state that I am ______________________(title) of _______________________________(firm) and hereby duly certify that I have read and understand the information presented in the attached proposal and any enclosure and exhibits thereto.

I further certify that to the best of my knowledge the information given in response to the request for proposals is full, complete and truthful.

I further certify that the proposer and any principal employee of the proposer have not, in the immediately preceding five years, been convicted of any crime of moral turpitude or any felony offense, nor has had their professional license suspended, revoked or been subjected to disciplinary proceedings.

I further certify that the proposer has not, in the immediately preceding five years, been suspended or debarred from contracting with any federal, state or local government agency, and further, that the proposer is not now under consideration for suspension or debarment from any such agency.

I further certify that the proposer has not in the immediately preceding five years been defaulted in any federal, state or local government agency contract, and further, that the proposer is not now under any notice of intent to default on any such contract.

I acknowledge, agree and authorize, and certify that the proposer acknowledges, agrees and authorizes, that the Owner may, by means that the Owner deems appropriate, determine the accuracy and truth of the information provided by the proposer and that the Owner or their agents and representatives may contact any individual or entity named in the Statement of Qualifications for the purpose of verifying the information supplied therein.

I acknowledge and agree that all of the information contained in the Statement of Qualifications is submitted for the express purpose of inducing the Owner to award a contract.

A material false statement or omission made in conjunction with this proposal is sufficient cause for disqualification.

Signature Sworn and subscribed before me

This _____ day of ________, 20__.

NOTARY PUBLIC

NOTARY SEAL

My Commission Expires: _________________

Gordon State College PPV-89-1201, Student Activity & Rec Ctr., PM RFQ/RFP

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