Laserfiche WebLink
<br /> A1Vl'ACHMENT l) <br /> Debarment Certification <br /> (Negotiated Contracts) <br /> (1) The CONTRACTOR certifies to the best of its knowledge and belief, that it and <br /> its princi pals: <br /> (a) Are not presently debarred, suspended, proposed for debarment, declared <br /> ineligible or voluntarily excluded from covered transactions by any federal <br /> deparbnentoragency; <br /> (b) Have not within a three-year period preceding this proposal been convicted <br /> of or had a civil judgment rendered against them for commission offraud or a <br /> criminal offense in connection with obtaining, attempting to obtain, or per- <br /> forming a public* transaction or contract under a public transaction; violation <br /> offederal or state antitrust statutes or commission of embezzlement, theft, for- <br /> gery, bribery, falsification or destruction of records, making false statements, <br /> or receiving stolen property; <br /> (c) Are not presently indicted for or otherwise criminally or civilly charged by <br /> a governmental entity* with commission of any of the offenses enumerated in <br /> paragraph (l)(b) of this certification; and <br /> (d) Have not within a three-year period preceding this application/proposal <br /> had one or more public transactions* terminated for cause or default. <br /> (2) Where the CONTRACTOR is unable to certi~y to any of the statements in <br /> this certification, such CONTRACTOR shall attach an explanation to this <br /> certification. <br /> *federal, state or local <br /> J ta' <br /> siv.nat.urt?tÓer~inJ!, Offici~ <br /> City Manager <br /> TiLl~ <br /> 1/-;2- -2q <br /> Da t.e Form 1734-A <br /> 4-tH/. <br />