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This document serves as a certification required by the State of Missouri for participants in the Global Market Access Program to declare their eligibility regarding debarment, suspension, and ineligibility.
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How to fill out certification regarding debarment suspension

How to fill out Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion
01
Obtain the Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion form from the appropriate agency or website.
02
Fill in the name of the entity or individual applying for the certification at the top of the form.
03
Provide the full address, including street, city, state, and ZIP code of the entity or individual.
04
Indicate the name of the person completing the form and their title.
05
Review the definitions provided in the form to understand the terms used, such as debarment and suspension.
06
Answer each question on the form truthfully, based on the entity's or individual's eligibility status.
07
Sign and date the form at the bottom, certifying that the information provided is correct to the best of your knowledge.
08
Submit the completed form to the required agency or as part of the application process for federal assistance or contracts.
Who needs Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion?
01
Organizations or individuals applying for federal contracts or assistance.
02
Any business or entity that is seeking to receive funding from federal sources.
03
Subcontractors or vendors working with entities that require federal funding.
04
Entities that wish to confirm their compliance with federal eligibility requirements.
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People Also Ask about
What is a debarment certificate?
A debarment certification is a formal statement or document that certifies that an individual, company, or organization is not currently debarred, suspended, or excluded from participating in certain business activities, particularly government contracts.
What is a certification of non-debarment?
Non-Debarment Certificate means a certificate, signed by the Borrower's Authorized Representative, as to the absence of debarment, suspension or voluntary exclusion from participation in Government contracts, procurement and non-procurement matters with respect to the Borrower and its principals (as defined in 2 C.F.R.
What is exclusion and debarment screening?
Answer: If an individual is suspended or debarred, then that individual may not bid on or receive any Federally funded contracts. The individual may also not receive any Federal grants, cooperative agreements, scholarships, fellowships, contracts of assistance, loans, loan guarantees, subsidies, or insurance.
What is the difference between debarment and exclusion?
Debarment is a longer-term exclusion, typically lasting up to three years, imposed when, after due process, the Suspending and Debarring Official (“SDO”) finds the contractor non-responsible. Both actions aim to ensure that the government only engages with responsible and reliable contractors.
What is certification regarding debarment, suspension, ineligibility, and voluntary exclusion?
A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction unless it knows that the certification is erroneous.
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What is Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion?
It is a form used by organizations to certify that they are not debarred, suspended, or ineligible to receive federal funds or contracts, ensuring compliance with federal regulations.
Who is required to file Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion?
Any organization or individual that is applying for federal funding or contracts is required to file this certification.
How to fill out Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion?
To fill out the certification, complete the required sections of the form by providing the necessary information about the entity, then sign and date it.
What is the purpose of Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion?
The purpose is to ensure that the federal government does not allocate funds to entities that pose a risk of non-compliance or unethical behavior.
What information must be reported on Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion?
The form requires information on the entity's name, address, and the specific reasons for any debarment, suspension, or ineligibility if applicable, along with a certification statement.
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