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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 -2INSTRUCTIONS FOR CERTIFICATION 1. Certification Regarding Debarment Suspension and Other Responsibility Matters Primary Covered Transactions This certification is required by th ...

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What is a debarment form?

The Contractor certifies that, neither the Contractor firm nor any owner, partner, director, officer, or. principal of the Contractor, nor any person in a position with management responsibility or.

What is a SBA Form 1623?

SBA Form 1623: Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions. SBA Form 1623: Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions. Related programs: Surety Bonds.