RFP_Attachment D_Non-Debarment Acknowledgement.pdf

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Attached to
Comprehensive Tobacco Prevention and Cessation Program for K-12 Students
Solicitation number
BPM044506
Issued by
Montgomery County, Maryland

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This document is an RFP Attachment D Non-Debarment Acknowledgement for RFP No. 4611.1 issued by Montgomery County Public Schools (MCPS) in Maryland. The RFP seeks to prequalify one or more highly-qualified Contractors to provide comprehensive tobacco and e-cigarette prevention programming and cessation assistance for the MCPS school community. Offerors must acknowledge whether their firm has any pending litigation or has been debarred from doing business with the State of Maryland or the federal government within the past five years. Offerors must also acknowledge 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 laws.

The RFP does not provide details on pricing, set asides, incumbents, funding requirements, or other salient commercial terms. The document focuses solely on the non-debarment acknowledgment required from Offerors as part of the RFP response.

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Other files

File Type Posted
Appendix A - General Contract Articles REVISED July 1, 2023.pdf PDF
4611.1 Tobacco Cessation FINAL.pdf PDF
RFP_Attachment C_Minority Business Enterprise.pdf PDF
RFP_Attachment B_Certification of Nonsegregated Facilities.pdf PDF
Data Resource Form-Attachment E.pdf PDF
RFP_Attachment A_ Equal Opportunity Certification.pdf PDF

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RFP No. 4611.1

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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