The Debarment / Suspension Certification is a ready-to-use government & public template you can send for signature in minutes. It is written for 1 signer (contractor) and, by default, expires 30 days after it is sent if left unsigned. It covers debarment, suspension, federal procurement, government contract, far, certification. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Debarment / Suspension Certification ## Background and Purpose Federal regulations require contractors to certify that they are not excluded from participation in federal programs before receiving federal funds, awards, or contracts. This certification is required by: - **FAR 52.209-5** โ Certification Regarding Responsibility Matters - **2 C.F.R. Part 180** โ OMB Guidelines to Agencies on Governmentwide Debarment and Suspension - **Executive Order 12549** and **12689** โ Debarment and Suspension The federal System for Award Management (SAM.gov) maintains the Excluded Parties List System (EPLS). Before executing this certification, the contractor should search SAM.gov to confirm that neither the entity nor any of its principals appears on the exclusions list. **Debarment** is an action taken by a debarring official that excludes a contractor from participating in federal contracting for a specified period. **Suspension** is a temporary exclusion pending completion of investigation or legal proceedings. A contractor that is debarred or suspended is ineligible for federal awards. --- ## Part 1 โ Contractor Information **Contractor Legal Name:** ___________ **Doing Business As (DBA), if applicable:** ___________ **Entity Type:** ___________ **Federal Employer Identification Number (EIN):** ___________ **SAM.gov Unique Entity Identifier (UEI):** ___________ **Business Address (Street):** ___________ **City:** ___________ **State:** ___________ **ZIP Code:** ___________ --- ### Primary Contact