RFP_Attachment D_Non-Debarment Acknowledgement.pdf
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- Solicitation number
- BPM057932
- Issued by
- Maryland
About this file
This is a Non-Debarment Acknowledgement form for RFP No. 4617.2 issued by Montgomery County Public Schools (MCPS) in Maryland. The RFP seeks qualified assessment providers to deliver evidence-based, web-based, adaptive Spanish language reading comprehension and proficiency assessments for students in Grades 3-5 enrolled in Two-Way Immersion Programs. The assessments must measure progress in Spanish language and literacy comprehension, feature grade and age-appropriate item types, and provide real-time and longitudinal data with customizable reports accessible at multiple organizational levels including district, school, grade, classroom, and individual student levels. Student data must be producible and accessible to families in multiple languages.
The Non-Debarment Acknowledgement requires the duly authorized representative of the offeror to certify under one of three conditions: that the firm has no pending litigation or debarment from doing business with the State of Maryland, any subordinate government units, or the federal government within the past five years; that the firm has pending litigation or has been debarred and must provide detailed documentation; or that none of the company's officers, directors, partners, or employees have been convicted of bribery, attempted bribery, or conspiracy to bribe under state or federal law, and that no member of the MCPS Board of Education, Administrative or Supervisory Personnel, or other employees have any financial interest in the bidding company. The certifying official must sign and date the acknowledgement and commit to notifying MCPS of any changes in status.
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Text version
RFP No. 4617.2
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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