CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf

This is a Certification of Contractor Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form applicable to multiple state and local contract opportunities, including procurements by the City of Newark, New Jersey, and Lextran in Kentucky. The form serves as a required certification document that authorized officials of proposing contractors must complete and submit with their bids or proposals. The certification confirms that neither the contractor nor its principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any Federal department or agency. The form requires contractors to provide company information, address, contact details, and authorized official signature and date, with instructions that any inability to certify the statements requires attachment of an explanation to the proposal.

The form is a standard compliance document applicable across multiple procurement opportunities and carries legal weight under 31 U.S.C. Sections 3801 et seq., making the truthfulness and accuracy of submitted certifications subject to federal penalties. Contractors must understand that false certifications can result in significant legal consequences. The form does not contain pricing terms, set-asides, or funding information, as it functions solely as a pre-qualification and integrity certification requirement that prospective bidders must complete regardless of the specific procurement's nature, whether for water system repair parts in Newark or environmental services in Kentucky.