CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
PDF 602 KB Posted
- Attached to
- Electrician Services
- Solicitation number
- 2023-03
- Issued by
- Mclean County, Kentucky
About this file
This document is a Certification of Contractor Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form provided by Lextran, the Transit Authority of Lexington-Fayette Urban County Government. The form requires an authorized company official to certify that the proposing company and its principals are not currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in transactions by any Federal department or agency. The form provides space for the company to enter its details, including company name, address, contact information, and a signature line for the authorized official to complete.
The form is a standard compliance document that ensures potential contractors meet federal eligibility requirements for contracting. By signing the document, the company affirms the truthfulness of its statements and acknowledges understanding of applicable federal provisions, specifically 31 U.S.C. Sections 3801 et seq. If the company cannot certify its eligibility, it is instructed to attach an explanation to the proposal. The document serves as a critical pre-qualification step in the government procurement process, helping to maintain integrity and prevent ineligible entities from participating in federal transactions.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CERTIFICATION OF CONTRACTOR REGARDING DEBARMENT, SUSPENSION, AND OTHER
INELIGIBILITY AND VOLUNTARY EXCLUSION
The undersigned, an authorized official of the Proposer stated below, certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.
(If the undersigned is unable to certify to any of the statements in this certification, such official shall attach an explanation to this proposal).
THE UNDERSIGNED CERTIFIES OR AFFIRMS THE TRUTHFULNESS AND ACCURACY OF THE
CONTENTS OF THE STATEMENTS SUBMITTED ON OR WITH THIS CERTIFICATION AND
UNDERSTANDS THAT THE PROVISIONS OF 31 U.S.C. SECTIONS 3801 ET SEQ. ARE APPLICABLE
THERETO.
Company: _______________________________________________________________________
Address: ________________________________________________________________________
City: _______________________________________ State: ___________ Zip: ____________
Contact Name: __________________________________________________________________
Title: ___________________________________ Telephone: _____________________________
Signature: __________________________________________________ Date: ____________________
| Text60: |
| Text61: |
| Text62: |
| Text63: |
| Text64: |
| Text65: |
| Text66: |
| Text67: |
| Signature68_es_:signer:signature: |
| Date69_es_:signer:date: |
File details come from the government source that posted it. Updated .