Non_Debarment_or_Suspension_Certification.docx

DOCX document 43 KB Posted

Attached to
CVG Centre Server Room Renovations & Improvements
Solicitation number
25-057-ITB
Issued by
Bell County, Kentucky

About this file

This is a Non-Debarment or Suspension Certification form required by the Kenton County Airport Board for the CVG Centre Server Room Renovations & Improvements project. The certification requires bidders to confirm under penalty of perjury that they and their principals are not presently debarred, suspended, proposed for debarment, or excluded from covered federal transactions. Bidders must also certify that within the three-year period preceding submission, they have not been convicted of or had a civil judgment rendered for fraud, criminal offenses related to public contracts, antitrust violations, embezzlement, theft, forgery, bribery, falsification of records, false statements, or receipt of stolen property. Additionally, bidders must confirm they are not presently indicted or criminally or civilly charged by any governmental entity for these offenses and have not had public transactions terminated for cause or default within the preceding three-year period. The pre-bid meeting and site visit are scheduled for Thursday, October 2, 2025 at 10:00 am at CVG Centre, 77 Comair Blvd., Erlanger, Kentucky. Questions must be submitted by 11:59 pm on Monday, October 13, 2025, with answers posted no later than Thursday, October 16, 2025. Bids are due by Thursday, October 23, 2025 at 2:00 pm.

Bidders unable to certify to any statements must list exceptions below, which will not necessarily result in denial of award but will be considered in determining contractor responsibility. Any exceptions noted must identify the applicable party, initiating agency, and dates of action, and the bidder must contact the sponsor prior to award to discuss the exception. The certification must be signed, dated, and notarized, with the notary public providing their signature and commission expiration date. Providing false information may result in criminal prosecution or administrative sanction.

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Text version

KENTON COUNTY AIRPORT BOARD CINCINNATI/NORTHERN KY INTERNATIONAL AIRPORT

PROJECT NAME

NON-DEBARMENT OR SUSPENSION CERTIFICATION

In accordance with the CODE OF FEDERAL REGULATIONS, Part 49, CFR Section 29.510, the Bidder, being duly sworn (or under penalty of perjury under the laws of the United States), certifies to best of his/her knowledge and belief, that 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-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 record, making false statements, or receiving stolen property;

3. 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 the above paragraph of this certification; and

4. have not within a three-year period preceding this proposal had one or more public transactions (federal, state, or local) terminated for cause or default.

Where the Bidder is unable to certify to any of the statements in this certification, such Bidder shall list exceptions below. Exceptions will not necessarily result in denial of award, but will be considered in determining contractor responsibility. For any exception noted, indicate below to whom it applies, the initiating agency, and the dates of the action. Providing false information may result in criminal prosecution or administrative sanction. If an exception is noted, the Bidder must contact the Sponsor to discuss the exception prior to award of the Contract.

The Bidder certifies under penalty of perjury under the laws of the Commonwealth of Kentucky that the foregoing is correct and true.

Name: Bidding contractor ___________________________________________________

By _________________________________Date:_______________

(SIGNATURE)

Name and Title ____________________________________________________

(PRINT OR TYPE)

Subscribed and sworn before me this date: Month _________ Day ______ Year __________

Notary Public's signature: ____________________________________________________

Commission expires: _________________________________________________________

END OF SECTION

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