Exhibit_A___Certification_Form.docx
DOCX document 41 KB Posted
- Attached to
- KSU - Project No. 555-27-058 ¿Design, Construction Standards, and Technical Specifications Update¿
- Solicitation number
- PE-54300-RFQC-2027-000000132
- Issued by
- Cobb County, Georgia
About this file
This is a Certification Form exhibit for Kennesaw State University, which is part of the Board of Regents of the University System of Georgia. The document serves as a qualification statement submission requirement for professional consultant firms seeking to provide master planning services for Project No. 555-27-058, titled "Design, Construction Standards, and Technical Specifications Update" at Kennesaw State University's Kennesaw and Marietta, Georgia campuses. The form establishes the formal submission requirements and certification standards that interested consulting firms must complete and submit as part of their statement of qualifications. Prospective bidders should direct all questions regarding the RFQ, project scope, and submission procedures to Whitney Kemp, Senior Capital Planner, at wkemp7@kennesaw.edu.
The certification form establishes the baseline qualifications and compliance documentation required from firms seeking to provide professional consulting services for this university planning initiative. The specific submission requirements, pricing terms, evaluation criteria, and contract award details are contained within the complete RFQ documentation and supporting materials referenced in the solicitation. Interested firms must carefully review all RFQ documents to understand the full scope of services, project timeline, selection methodology, and any applicable set-asides or special requirements before preparing their qualification statements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit_C___Project_Team_Composition_Form.docx | DOCX document | |
| Exhibit G KSU USG Building and Room Summary.pdf | ||
| Exhibit_E___Contractor_Affidavit.docx | DOCX document | |
| Exhibit H Current KSU Design and Construction.pdf | ||
| Exhibit_D___DP_Fee_Proposal.doc | DOC document | |
| Exhibit_F___Proposers_Disclosure_Statement.doc | DOC document | |
| KSU DCS and Technical_Specs_Update RFQ_RFP_26.pdf | ||
| Exhibit_B___Certificate_of_Minority_Form.docx | DOCX document |
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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 Board of Regents may, by means that the Board of Regents deems appropriate, determine the accuracy and truth of the information provided by the proposer and that the Board of Regents or their agents 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 suspension or debarment from further contracts, or denial of rescission of any contract entered into based upon this proposal thereby precluding the firm from doing business with, or performing work for, the State of Georgia. In addition, such false statement or omission may subject the person and entity making the proposal to criminal prosecution under the laws of the State of Georgia of the United States, including but not limited to O.C.G.A. §16-10-20, 18 U.S.C. §§1001 or 1341.
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
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