Exhibit_D_Certification_Regarding_Debarment_and_Suspension.pdf
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- Solicitation number
- OFCA/028
- Issued by
- Sacramento County, San Francisco City, California
About this file
This is a Certification Regarding Debarment and Suspension exhibit for Sacramento County Department of Health Services/Office of the County Administrative (DHS/OFCA) Request for Quotation No. OFCA/028 related to Adult Correctional Health Operational Assessment and Medical Training services. The exhibit establishes compliance requirements under 45 CFR Part 76.100, mandating that federal funds cannot support contracted services if the contractor is debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency. The certification applies to the contractor and all principals involved in the procurement for comprehensive correctional healthcare services including medical standard of care training, leadership coaching, policy revision recommendations, and technical assistance and oversight at Sacramento County's adult detention facilities.
The contractor must certify that it has not been convicted of or had civil judgment rendered against it for fraud, criminal offenses, antitrust violations, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receiving stolen property within the three-year period preceding the proposal. Additionally, the contractor certifies that it is not presently indicted or criminally or civilly charged by any governmental entity for such offenses and has not had any public transactions terminated for cause or default within the preceding three years. The contractor must notify the County within ten days of any proposed or pending debarment, suspension, indictments, or termination of public transactions, obtain equivalent certifications from all subcontractors funded through the agreement, and immediately terminate any subcontractor discovered to be ineligible or voluntarily excluded from covered transactions by federal departments or agencies.
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Text version
Sacramento County DHS/OFCA: RFQ No. OFCA/028 | EXHIBIT D
EXHIBIT D: CERTIFICATION REGARDING DEBARMENT
AND SUSPENSION
CONTRACTOR agrees to comply with 45 CFR Part 76.100 (Code of Federal Regulations), which provides that federal funds may not be used for any contracted services, if CONTRACTOR is debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency.
I (We) certify to the best of my (our) knowledge and belief, that CONTRACTOR named below and its principals:
1. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;
2. Have not within a three (3)-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;
3. Are not presently indicted or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (2) of this certification;
and
4. Have not within a three (3)-year period preceding this Proposal/agreement had one or more public transactions (Federal, State, or local) terminated for cause or default.
5. Shall notify COUNTY within ten (10) days of receipt of notification that CONTRACTOR is subject to any proposed or pending debarment, suspension, indictments or termination of a public transaction.
6. Shall obtain a certification regarding debarment and suspension from all its subcontractors that will be funded through this Agreement.
7. Hereby agree to terminate immediately, any subcontractor’s services that will be/are funded through this Agreement, upon discovery that the subcontractor is ineligible or voluntarily excluded from covered transactions by any federal department or agency.
ORGANIZATION’S NAME
Printed Name of person authorized to sign Electronic or Scanned Signature Date
| ORGANIZATIONS NAME: |
| Date_3: |
File details come from the government source that posted it. Updated .