EXHIBIT F_DEBARMENT.pdf

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Attached to
City & County of Denver - Child Nutrition Programs
Solicitation number
OCA-2025-01-Child Nutrition
Issued by
Colorado

About this file

Exhibit F is a Debarment and Suspension Form related to the City & County of Denver's Child Nutrition Programs, specifically designed for School Food Authorities subject to non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689. The form requires prospective primary participants to certify their compliance with federal regulations regarding participation in federal assistance programs.

The document mandates that participants affirm they are not currently debarred, suspended, or excluded from federal transactions, have not been convicted of fraud or criminal offenses in public transactions within the past three years, are not currently indicted for specified offenses, and have not had public transactions terminated for cause or default. If a participant cannot certify to these statements, they must attach an explanation to their proposal. The form provides spaces for business name, date, authorized representative details, and signature, serving as a critical compliance document for vendors seeking to participate in the Denver Child Nutrition Programs.

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EXHIBIT F: DEBARMENT AND SUSPENSION FORM

Debarment and Suspension and Other Responsibility Matters Primary Covered Transactions

School Food Authorities are subject to the non-procurement debarment and suspension regulations implementing Executive Orders 12549 and 12689, 2 CFR part 180. These regulations restrict awards, subawards, and contracts with certain parties that are debarred, suspended, or otherwise excluded from or ineligible for participation in Federal assistance programs or activities.

1. The prospective primary participant certifies to the best of its knowledge and belief that it and its principals:

a. Are not presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;

b. Have not within a three-year period preceding this application 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 governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

d. Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default.

2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective primary participant shall attach an explanation to this proposal.

Business Name _______________________________________Date___________________________

Name and Title of Authorized Representative

Signature of Authorized Representative

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