AFFIDAVIT_OF_COMPLIANCE_-_DISADVANTAGED_BUSINESS_ENTERPRISE.pdf
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- Attached to
- Security & Access Control
- Solicitation number
- 2026-02
- Issued by
- Fayette County, Kentucky
About this file
This is an Affidavit of Compliance form for Disadvantaged Business Enterprise (DBE) certification, issued by the Transit Authority of Lexington-Fayette Urban County Government (Lextran) in Kentucky for the Security & Access Control contract opportunity (Reference Number: 2026-02). The form is to be completed only by proposers or subcontractors who qualify as DBEs. Proposals for the security and access control services are due by 2:00 pm Eastern Time on Wednesday, April 29, 2026, and must be submitted online via Lextran's eProcurement Portal. Questions regarding the project must be submitted through the Q&A section of the portal by end of day on Friday, March 20, 2026. Lextran reserves the right to reject any submissions that are incomplete, non-responsive, or submitted after the deadline, and may waive minor technical deficiencies at its sole discretion.
The affidavit requires the authorized representative of a DBE firm to declare under penalty of perjury that the company qualifies as a Disadvantaged Business Enterprise as defined in the RFP specifications and will provide documentation to support this designation. The form must be notarized and signed by the authorized company representative, with the notary public providing their commission expiration date. This document serves as formal certification of DBE status for participation in the Lextran security and access control contract award process, indicating that DBE participation is a component of the procurement evaluation criteria.
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Text version
AFFIDAVIT OF COMPLIANCE - DISADVANTAGED BUSINESS ENTERPRISE
To be filled out only by proposers that are Disadvantaged Business Enterprise (DBE) or subcontractors who are DBE.
State of ____________________________
County of __________________________
I hereby declare and affirm, that I am the _____________________________________________ (Title)
And duly authorized representative of ________________________________________________ (Company Name)
Company address: ___________________________________________________________________
I hereby declare and affirm that I am a Disadvantaged Business Enterprise (DBE) as defined by the specifications and that I will provide information requested by Lextran to document this fact.
I do solemnly declare and affirm, under the penalties of perjury, that the contents of the aforementioned document are true and correct and that I am authorized, on behalf of the above firm, to execute this affidavit.
DATE: ___________________________________________________________
AUTHORIZED SIGNATURE: _______________________________________
PRINT NAME: ___________________________________________________
Sworn to before me and subscribed in the presence this ______ day of __________________, 20_____.
Notary Public Name: ______________________________________________________
Notary Public Signature: ___________________________________________________
My Commission Expires: ____________________________________
| Company address: |
| I hereby declare and affirm that I am the: |
| And duly authorized representative of: |
| undefined: |
| PRINT NAME: |
| Sworn to before me and subscribed in the presence this: |
| day of: |
| 20: |
| Notary Public Name: |
| Signature1_es_:signer:signature: |
| Signature2_es_:signer:signature: |
| Text3: |
| Text4: |
| Date5_es_:signer:date: |
| Date6_es_:signer:date: |
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