ineligible for contract award under statutory or regulatory authority other than Executive Order
Nos. 12546 and 12689.
Before entering into any subcontracts with any subcontractor, the Contractor agrees to obtain a
debarment and suspension certification from each prospective recipient containing information
about the debarment and suspension status and other specific information of that awarding
agency and its “principals,” as defined at 49 CFR Part 29.
Before entering into any third-party contract exceeding $25,000.00, the Contractor agrees to
obtain a debarment and suspension certification from each third-party contractor containing
information about the debarment and suspension status of that third-party contractor and its
“principals,” as defined at 49 CFR 29.105(p). The Contractor also agrees to require each third
party contractor to refrain from awarding any third-party subcontract of any amount, at any tier, to
a debarred or suspended subcontractor, and to obtain a similar certification for any third-party
subcontractor, at any tier, seeking a contract exceeding $25,000.00.
Certification Regarding Debarment, Suspension,
Ineligibility and Voluntary Exclusion
- Lower Tier Covered Transaction
(1) The prospective lower tier participant certifies, by submission of this bid or proposal, that neither it
nor its "principals" [as defined at 49 CFR § 29.105(p)] is presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by
any Federal department or agency.
(2) When the prospective lower tier participant is unable to certify to the statements in this certification,
such prospective participant shall attach an explanation to this proposal.
The bidder respondent and all subcontractors hereby certifies that he/she has not been debarred or
suspended from participation in Federal contracts. Please note - separate certification may be photo
copied and submitted by each subcontractor. (Pursuant to 49 CFR, Part 29)
Certified (Contractor)
Company
Signed By
Name
Title
Date
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