Laserfiche WebLink
.�__ <br /> SECTION 00476 - Certification Regarding Debarment Transactionand <br /> Voluntary Exclusion--Primary Covere <br /> he <br /> city Of <br /> The Bidder certifies that, the firm or any person cdirecdtotherewith <br /> elagerman ,taud topaand/or <br /> owner, partner, director, officer, principal, investigator, project <br /> position involving the administration of federal funds: <br /> edineligible <br /> (a) are not presently debarred, suspended, <br /> propose <br /> neden 49 CFR s29.1for debarment, d1O(a)r by any federal <br /> voluntarily excluded from covered transactions, as <br /> department or agency; <br /> b have not within a three-year period preceding this certification been offense itetlonne had <br /> a civil judgment rendered against it for: commission of fraud or <br /> with obtaining, attempting to obtain, or performing a federal, state, or local government transaction <br /> or public contract; violation of federal or state o nolfrrecordsst umak�rg false(ssion of statements, or receivingl <br /> theft, forgery, bribery, falsification or destruct) <br /> stolen property <br /> I (c) are not presently indicted for or otherwise cof anyoffensesorthecivilly charge enby eratedr in <br /> state ,or local governmental entity with commission <br /> paragraph (b) of this certification; and <br /> have not within a three-year period preceding this certification had one or more federal, <br /> state, or )local government public transactions terminated for cause or default. <br /> The Bidder certifies that it shall not knowingly enter into any transaction with any <br /> subcontractor, material supplier, or vendor who is debarred, suspended, declared ineligible, or <br /> voluntarily excluded from participation in this project by any federal agency unless authorized by <br /> the Florida Department of Transportation.' <br /> M <br /> Company Name: U <br /> Authorized By: / (Print Na ) <br /> (Sign) <br /> Date: �._ <br /> Title. t'41 - <br /> 00476 <br /> FAPublic Works\ENGINenRING DIVISION PRoOn Regarding 13-Old <br /> Dixie <br /> Hwy Sidewalk(38th Ln-45th St)\Admim\bid <br /> rinrnmants\LAP Docum <br />