Sba Form 1623 PDF Details

The SBA Form 1623 plays a pivotal role in maintaining the integrity of business transactions involving federal funds by certifying a business's eligibility regarding debarment, suspension, and other responsibility matters. Originating from regulations implementing Executive Order 12549, Debarment and Suspension, this form ensures that companies and their principals have not engaged in behaviors that would disqualify them from participating in primary covered transactions with the government. Such behaviors include being debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded by any Federal department or agency, convictions or civil judgments for certain offenses, or having a history of transactions terminated for cause. Furthermore, the form sets forth requirements for potential participants to disclose their eligibility status, offering an explanation if they cannot certify their compliance. It emphasizes the importance of honesty in these certifications, noting that erroneous or misleading certifications can lead to termination of transactions for cause or default. Additionally, the form outlines the obligations of participants to avoid entering into transactions with disqualified parties and to include specific clauses in lower-tier transactions, thereby extending the responsibility for ensuring compliance down the supply chain. The SBA Form 1623 not only protects the federal government from entering into business with entities of questionable integrity but also upholds the standards of fairness and honesty in government transactions.

QuestionAnswer
Form NameSba Form 1623
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessba 1623 form, sba form cerificate, sba form 1623 fillable, sba form 1623 applicant

Form Preview Example

Certification Regarding

Debarment, Suspension, and Other Responsibility Matters

Primary Covered Transactions

This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 13 CFR Part 145. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211). Copies of the regulations are available from local offices of the U.S. Small Business Administration.

(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)

(1)The prospective primary participant certifies to the best of its knowledge and belief that it and its principals:

(a)Are not presently debarred, suspended, proposed for disbarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;

(b)Have not within a three-year period preceding this application been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

(c)Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and

(d)Have not within a three-year period preceding this application had one or more public transactions (Federal, State, or local) terminated for cause or default.

(2)Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective primary participant shall attach an explanation to this proposal.

Business Name

Date

 

By

Name and Title of Authorized Representative

Signature of Authorized Representative

SBA Form 1623 (10-88)

- 2 -

INSTRUCTIONS FOR CERTIFICATION

1.By signing and submitting this proposal, the prospective primary participant is providing the certification set out below.

2.The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit an explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the department or agency's determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction.

3.The certification in this clause is a material representation of fact upon which reliance was placed when the department or agency determined to enter into this transaction. If is is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default.

4.The prospective primary participant shall provide immediate written notice to the department or agency to which this proposal is submitted if at any time the prospective primary participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

5.The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Executive Order 12549. You may contact the department or agency to which this proposal is submitted for assistance in obtaining a copy of those regulations (13 CFR Part 145).

6.The prospective primary participant agrees by submitting this proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency entering into this transaction.

7.The prospective primary participant further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transactions," provided by the department or agency entering into this covered transaction, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.

8.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. A participant may decide the method and frequency by which it determines the ineligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List.

9.Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.

10.Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the Federal Government, the department or agency may terminate this transaction for cause or default.

How to Edit Sba Form 1623 Online for Free

Working with PDF documents online is very simple with this PDF editor. You can fill in sba form 1623 here without trouble. FormsPal expert team is constantly endeavoring to enhance the editor and ensure it is much faster for clients with its many features. Enjoy an ever-evolving experience now! Getting underway is simple! All you should do is stick to the following basic steps below:

Step 1: Firstly, access the editor by pressing the "Get Form Button" at the top of this webpage.

Step 2: This editor allows you to change PDF forms in various ways. Change it by adding customized text, correct original content, and put in a signature - all doable within minutes!

This PDF requires particular data to be typed in, so be certain to take your time to fill in exactly what is requested:

1. To start off, once completing the sba form 1623, beging with the part that includes the following blanks:

Tips to fill in sba 1623 form portion 1

Step 3: Before moving on, make sure that form fields have been filled out the correct way. The moment you believe it is all fine, click on “Done." Get your sba form 1623 the instant you sign up for a 7-day free trial. Instantly view the pdf in your personal account page, together with any edits and changes automatically kept! Here at FormsPal, we aim to guarantee that all your details are stored private.