CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
PDF 602 KB Posted
- Attached to
- Bus Stop Enhancements (Repost)
- Solicitation number
- 2026-08
- 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 by the Transit Authority of Lexington-Fayette Urban County Government (Lextran) in Kentucky for the Bus Stop Enhancements (Repost) contract opportunity (RFP 2026-08). The form requires an authorized official of the proposing company to certify that neither the proposer nor its principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in the transaction by any Federal department or agency. Proposals are due by 2:00 pm eastern time on Wednesday, August 19, 2026, and must be submitted online via Lextran's eProcurement Portal. All questions and requests for clarification must be submitted by end of day on Friday, July 31, 2026, with responses provided through the Q&A tab or via addendum if documentation changes are required.
The certification form includes blank fields for the contractor to provide company name, address, city, state, zip code, contact name, title, telephone number, signature, and date. The undersigned official must affirm the truthfulness and accuracy of the submitted statements under the provisions of 31 U.S.C. Sections 3801 et seq. Any official unable to certify to the statements in this certification must attach an explanation to their proposal. This form is a standard compliance document required from all proposers responding to the bus stop enhancement construction contract, which involves the installation and removal of shelters and amenities already owned by Lextran.
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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 .