Form ad 1048-2026

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5 out of 5

37 votes

The document is a certification form (AD-1048) from the United States Department of Agriculture, required for lower tier participants in covered transactions to confirm they are not debarred, suspended, or ineligible for federal participation. It outlines the responsibilities and definitions related to debarment and suspension as per Executive Order 12549 and includes instructions for completing the certification. The document also emphasizes compliance with anti-discrimination laws and provides contact information for filing discrimination complaints.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your organization name in the designated field. This identifies the entity submitting the certification.
Next, provide the PR/AWARD NUMBER or PROJECT NAME. This information is crucial for tracking and reference purposes.
In the section for NAME(S) AND TITLE(S) OF AUTHORIZED REPRESENTATIVE(S), list the individuals authorized to sign on behalf of your organization.
Ensure that each representative signs in the SIGNATURE(S) field. This confirms their agreement with the certification statements.
Finally, enter the DATE of signing to complete your submission. Review all entries for accuracy before finalizing.

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Versions	Form popularity	Fillable & printable
2015	5 Satisfied (37 Votes)
1992	4.1 Satisfied (89 Votes)

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ad 1048

Form ad 1048 template Form ad 1048 pdf Form ad 1048 instructions Form ad 1048 download Form ad 1048 sample AD 1049 USDA forms Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion

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