CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
PDF 602 KB Posted
- 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 that must be completed by proposers submitting bids 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 verify that neither the contractor nor its principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from federal participation. The form requires completion of standard contractor information fields including company name, address, city, state, zip code, contact name, title, and telephone number, along with an authorized signature and date. Proposals for the electrician services contract are due by 2:00 pm Eastern Time on Thursday, April 23, 2026, and must be submitted online via Lextran's eProcurement Portal.
The undersigned official certifies that all statements submitted with this certification are truthful and accurate, with understanding that the provisions of 31 U.S.C. Sections 3801 et seq. apply. Failure to certify to the statements contained in this document requires the submission of a written explanation attached to the proposal. This certification form is a standard federal compliance requirement for government contracting and serves as a prerequisite for bid consideration. No pricing information, set-asides, incumbent vendor data, or funding details are specified within this particular certification document, as it functions solely as a legal compliance verification form rather than a substantive bid requirement document.
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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 .