CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
PDF 602 KB Posted
- Attached to
- Snow Removal (Repost)
- Solicitation number
- 2026-07
- 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 the Transit Authority of Lexington-Fayette Urban County Government (Lextran) snow removal services contract opportunity in Kentucky. The form serves as a standard compliance certification that must be completed and submitted by any proposer responding to Lextran's Request for Proposals (RFP) for snow removal services. Proposals are due by 2:00 pm Eastern Time on Wednesday, September 16, 2026, and must be submitted online via Lextran's eProcurement Portal. Questions and requests for clarification must be submitted by end of day on Friday, August 7, 2026, through the Q&A section of the portal. Lextran reserves the right to reject incomplete or non-responsive submissions, cancel or reissue the RFP, waive minor technical deficiencies, and make award determinations at its sole discretion.
The certification form requires an authorized official of the proposing company to attest that neither the company nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any Federal department or agency. The form must include the company's name, address, city, state, zip code, contact name, title, telephone number, and the authorized official's signature and date. Any inability to certify to the statements in this certification requires the submission of an explanation attached to the proposal. The certification affirms compliance with 31 U.S.C. Sections 3801 et seq.
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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 .