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DC78 (011/2023)NEW JERSEY DEPARTMENT OF TRANSPORTATION (NJ DOT) CERTIFICATION OF ENDEARMENT FORM NJ DOT Contract No: Contract Name: Contractor Name: Contractor Address: CERTIFICATION Pursuant to N.J.S.A.
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Obtain the certification of non-debarment form from the relevant authority or organization.
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Individuals or businesses applying for government contracts or grants may need to submit a certification of non-debarment form to demonstrate that they are not debarred or excluded from participating in government programs.
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The certification of non-debarment form is a document that certifies an organization or individual is not currently debarred from receiving federal funds or participating in federal contracts and programs.
Any individual or organization that is applying for federal grants, contracts, or benefits is required to file the certification of non-debarment form.
To fill out the certification of non-debarment form, individuals or organizations must provide their name, identifying information, and certify under penalty of perjury that they are not debarred by signing and dating the form.
The purpose of the certification of non-debarment form is to ensure that only eligible organizations or individuals receive federal funds and to maintain the integrity of federal programs.
The form requires information such as the name of the entity, address, and a declaration stating that the entity is not debarred or suspended from doing business with the federal government.
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