AFFIDAVIT_OF_COMPLIANCE_-_DISADVANTAGED_BUSINESS_ENTERPRISE.pdf
PDF 608 KB Posted
- Attached to
- Landscaping Services
- Solicitation number
- 2026-03
- Issued by
- Fayette County, Kentucky
About this file
This is an Affidavit of Compliance form for the Transit Authority of Lexington-Fayette Urban County Government (Lextran) in Kentucky, specifically designed for Disadvantaged Business Enterprise (DBE) proposers and subcontractors participating in the competitive landscaping services contract opportunity. The affidavit requires completion by DBE firms or DBE subcontractors as part of their proposal submission for Lextran's landscaping services RFP, with proposals due by 2:00 pm eastern time on Wednesday, June 3, 2026. The form must be notarized and submitted as part of the overall proposal package through Lextran's eProcurement Portal, with questions and clarification requests due by end of day on Friday, May 1, 2026.
The affidavit serves as a sworn declaration wherein authorized company representatives affirm their firm's DBE status as defined by relevant specifications and commit to providing documentation to substantiate this certification. The form requires the signatory to declare under penalties of perjury that all information is true and accurate, and must be executed before a notary public. This compliance document is essential for firms seeking to qualify for DBE set-aside consideration in the landscaping services contract award process, as Lextran evaluates proposer qualifications and compliance with applicable program requirements as part of its selection 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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