MMA Debarment Document.rtf

This is a Certificate of Eligibility and Debarment Document for the State of Maine related to a Contract for Bulk Multi-Engine Antifreeze. The document requires bidders to certify their eligibility to participate in the procurement by confirming they are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal Department or Agency. Bidders must also affirm that within the three-year period preceding their proposal, they have not been convicted of or had a civil judgment rendered against them for fraud, criminal offenses in connection with public transactions or contracts, violations of Federal or State anti-trust statutes, or crimes including embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property.

Additionally, bidders must certify they are not presently indicted for or criminally or civilly charged with any of the aforementioned offenses and have not had one or more public transactions terminated by default within three years preceding the application. The document requires bidders to provide their company name, the printed name and authorized signature of the person bidding, their title, and the date of certification. Bidders are obligated to promptly inform the State of Maine if they become aware of any subsequent information that contradicts their certification statements. If a bidder cannot certify to these statements, they must provide a written explanation to the State of Maine.