CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf

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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.

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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: ____________________

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File details come from the government source that posted it. Updated .