Get Exhibit A Debarment Certification Form

This guide provides a clear, step-by-step process for completing the EXHIBIT A DEBARMENT CERTIFICATION FORM online. Users will find detailed instructions for each section, ensuring a comprehensive understanding of the requirements.

Follow the steps to fill out the EXHIBIT A DEBARMENT CERTIFICATION FORM online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by reviewing the certification statement at the top of the form. This section outlines the responsibilities and requirements of the bidder, ensuring that they understand the implications of the certification.
3. In the section addressing debarment status, users must indicate whether the firm or any individuals associated with it are debarred or suspended. Carefully read the options and select the appropriate response.
4. For the next field, users need to answer questions regarding any convictions or civil judgments related to fraud or other serious offenses in the past three years. Ensure that all information is accurate and complete.
5. Complete the section about current indictments or charges. Users must disclose if there are any ongoing legal issues that would affect their eligibility.
6. In the following field, confirm whether there have been any prior transactions with government entities that were terminated for cause or default. Provide truthful information to avoid any legal repercussions.
7. The certification concludes with the user's declaration not to engage with any subcontractors or vendors who are debarred or ineligible. This commitment is crucial for compliance.
8. Finally, provide the date, authorized signature, printed name and title of the signatory, contractor's firm name, and contact information including address, city/state/zip code, and telephone number.
9. Once all sections are completed, review the form for accuracy, then save changes. You may download, print, or share the completed form as needed.

Take action now to complete your forms online and ensure compliance.