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Town of Laguna Vista, Texas MICRO / SMALL PURCHASE VENDOR QUOTE FORM* Project Name ARP #2312 Return Quote To: Contact Name: Entity Name: Address: City, State, & Zip: Phone: Fax:Sendai Gonzales Town

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What is quote-form-and-non-debarment-self-certification?

It is a document used by organizations to certify that they are not currently debarred from doing business with government agencies and to submit quotations for contracts.

Who is required to file quote-form-and-non-debarment-self-certification?

Any business or individual seeking to bid on government contracts or receive government funding may be required to file this certification.

How to fill out quote-form-and-non-debarment-self-certification?

The form typically requires basic information about the entity, including name, address, and a declaration confirming that the entity is not debarred, details on the services or goods offered, and the signature of an authorized official.

What is the purpose of quote-form-and-non-debarment-self-certification?

The purpose is to ensure that government contracts are awarded to qualified parties that have not been debarred for misconduct or failure to comply with regulations.

What information must be reported on quote-form-and-non-debarment-self-certification?

Required information includes the entity's legal name, address, confirmation of non-debarment status, nature of services or goods being provided, and other pertinent business information.

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