CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
PDF 602 KB Posted
- Attached to
- Uniforms - Operators
- Solicitation number
- 2023-01
- Issued by
- Mclean County, Kentucky
About this file
The document is a Certification of Contractor Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form issued by Lextran (the Transit Authority of Lexington-Fayette Urban County Government). The form is a standard federal certification that requires a contractor to affirm they are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any Federal department or agency. The form provides spaces for a company's details including name, address, contact information, and requires an authorized official's signature certifying the statements' truthfulness.
The certification references 31 U.S.C. Sections 3801 et seq. and provides an option for the undersigned to attach an explanation if they cannot fully certify the statements. While the form itself does not specify a particular procurement, it is a standard compliance document typically required as part of the bidding or contracting process to ensure potential contractors meet federal eligibility requirements. The form includes blank fields for company information and a signature line, designed to be completed by the proposing contractor as part of their bid or proposal submission.
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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: ____________________
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File details come from the government source that posted it. Updated .