Laserfiche WebLink
SECTION 00476 - Certification Regarding Debarment, Suspension, Ineligibility and <br />Voluntary Exclusion --Primary Covered Transactions <br />The Bidder certifies that, the firm or any person associated therewith in the capacity of <br />owner, partner, director, officer, principal, investigator, project director, manager, auditor, and/or <br />position involving the administration of federal funds. <br />(a) are not presently debarred, suspended, proposed for debarment, declaredineligible, or <br />voluntarily excluded from covered transactions, as defined in 49 CFR s29.110(a), by any federal <br />department or agency; .; <br />(b) have not within a three-year period preceding gaud orrifics criminal offense iation been n connect ad <br />a civil judgment rendered against it for: commission of f <br />with obtaining, attempting to obtain, or performing itrusastatuteseral, teo �commir local gs onto embezzlemetransaction <br />nt, <br />or public contract; violation of federal or state <br />theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving <br />stolen property <br />(c) are not presently indicted for or othmrws e on cof anyyof orthecivIloffensesed a umeratedraln <br />state, or local governmental entity with com <br />paragraph (b) of this certification; and <br />(d) have not within a three-year period preceding hair causes <br />icatorldefhaon d, one or more federal, <br />state, or local government public transactions terminated <br />n with <br />ny <br />The Bidder certifies that it shall notknowingly <br />ns ids enter supended, declared �nel'Igiblea or <br />subcontractor, material supplier, or vendor <br />voluntarily excluded from participation in this project by any federal agency unless authorized by <br />the Florida Department of Transportation." <br />Company Name: <br />Authorized By: <br />Title: <br />00476 <br />(Print Na <br />Date: l-l.\\_V14 <br />F \Public Works\ENGINEn 47RINGDIIVISI6 - ON PifiaROJEtionRCT$\ 84 B - Old Dixie <br />e Hwy Sidewalk (38th Ln - 45th St)\Admim\bid <br />g <br />rinciimants\LAP Docume <br />