RFP 7254.1 _Attachment D_Non-Debarment Acknowledgement.pdf
PDF 95 KB Posted
- Attached to
- Transportation Routing System
- Solicitation number
- BPM058042
- Issued by
- Maryland
About this file
This is a Non-Debarment Acknowledgement form for RFP No. 7254.1 issued by Montgomery County Public Schools (MCPS) in Maryland. The form serves as a certification document that bidders must complete as part of the proposal submission process for the Transportation Routing System contract opportunity. Vendors responding to this RFP are required to acknowledge their debarment status and any pending litigation with the State of Maryland, its subordinate government units, or the federal government within the past five years. The form also requires certification that none of the company's officers, directors, partners, or employees have been convicted of bribery, attempted bribery, or conspiracy to bribe under any state or federal law, and that no member of the Montgomery County Board of Education or other MCPS administrative, supervisory, or employee personnel has any undisclosed interest in the bidding company.
Bidders must select one of two acknowledgement options: either confirming they have no pending litigation or debarment, or disclosing pending litigation or debarment status with supporting documentation. The form requires certification by a duly authorized representative of the offeror and must be witnessed. Bidders are obligated to notify MCPS of any changes in their debarment or litigation status subsequent to submission. This certification is a mandatory compliance requirement and must be completed accurately to remain eligible for consideration in the competitive procurement process.
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Text version
RFP No. 7254.1
Attachment D
NON-DEBARMENT ACKNOWLEDGEMENT
_____ I acknowledge that my firm has NO pending litigation and/or debarment from doing business with the State of Maryland or any of its subordinate government units and/or federal government within the past five (5) years.
_____ I acknowledge that my firm has pending litigation or has been debarred from doing business with the State of Maryland or any of its subordinate government units and/or federal government, within the past five (5) years. If so, please provide an attachment describing the pending litigation or debarment.
_____ I acknowledge none of this company's officers, directors, partners, or its employees have been convicted of bribery, attempted bribery, or conspiracy to bribe under the laws of any state or federal government; and that no member of the Board of Education of the Montgomery County
Public Schools, Administrative or Supervisory Personnel, or other employees of the Board of
Education has any interest in the bidding company except as follows
As the duly authorized representative of the Offeror, I hereby certify that the above information is correct and that I will advise Montgomery County Public Schools should there be a change in status.
By (Signature)
Name and Title
Witness Name and Title
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