Debarment Certification Letter

Date Date / MM / DD YYYY
Vendor Name
Vendor Address Vendor Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
PO#
To Whom It May Concern

As the awarded vendor on this contract, you are required to provide debarment/suspension certification indicating that you are in compliance with the below Federal Executive Order. Certification can be done by completing and signing this form.

Debarment:
Federal Executive Order (E.O.) 12549 “Debarment and Suspension“ requires that all contractors receiving individual awards, using federal funds, and all sub-recipients certify that the organization and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any Federal department or agency from doing business with the Federal Government.

Your signature certifies that neither you nor your principal is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.
Name Name First Last
Title
Company
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Office Office - ### - ### ####
Cell Cell - ### - ### ####
Email
Authorized Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
If you have questions, please contact me at (864) 294-3609.

Sincerely,

Jannie G. Choice, NIGP-CPP, CPPO
Director of Procurement

Furman University 3300 Poinsett Hwy, Greenville, SC 29613
Phone: 864-294-3609 www.furman.edu
Email: jannie.choice@furman.edu

Debarment Certification Letter

Debarment Certification Letter

To Whom It May Concern

If you have questions, please contact me at (864) 294-3609. Sincerely, Jannie G. Choice, NIGP-CPP, CPPO Director of Procurement

If you have questions, please contact me at (864) 294-3609.

Sincerely,

Jannie G. Choice, NIGP-CPP, CPPO
Director of Procurement