CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf

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Attached to
On-Call Electrician Services
Solicitation number
2026-01
Issued by
Fayette County, Kentucky

About this file

This is a Certification of Contractor Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form required for submission with a proposal to the Transit Authority of Lexington-Fayette Urban County Government (Lextran) in Kentucky for on-call electrician services. The certification document requires an authorized official of the proposing company to attest that neither the firm nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in the transaction by any Federal department or agency. Proposals for the on-call electrician services must be submitted online via Lextran's eProcurement Portal by 2:00 pm Eastern Time on Thursday, April 23, 2026. A mandatory pre-bid question submission deadline is established for end of day on Thursday, March 26, 2026, with responses provided through the Q&A tab or addendum if documentation changes are required.

The certification form contains blank fields for the contractor's company name, address, city, state, zip code, contact name, title, telephone number, signature, and date. The undersigned certifies the truthfulness and accuracy of the statements submitted and acknowledges that the provisions of 31 U.S.C. Sections 3801 et seq. are applicable. Any contractor unable to certify to the statements in this certification must attach an explanation to the proposal. Lextran reserves the right to reject any incomplete or non-responsive submissions, cancel or reissue the RFP, waive minor technical deficiencies, and determine the evaluation criteria and selection process in its sole discretion.

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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 .