CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
PDF 602 KB Posted
- Attached to
- CNG Maintenance & Monitoring
- Solicitation number
- 2026-06
- 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 to the Transit Authority of Lexington-Fayette Urban County Government (Lextran) in Kentucky for the CNG Maintenance & Monitoring contract opportunity (Reference Number: 2026-06). The certification must be completed and submitted by an authorized official of the proposing company as part of the proposal package. Proposals are due by 2:00 pm Eastern Time on Friday, September 4, 2026, and must be submitted online via Lextran's eProcurement Portal. Proposers may submit questions and requests for clarification through the Q&A section of the portal, with all questions due by end of day on Wednesday, August 5, 2026. Lextran reserves the right to reject incomplete or non-responsive submissions, cancel the RFP, or waive minor technical deficiencies at its sole discretion.
The certification form requires the proposer to affirm 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 be signed and dated by an authorized company official and include the company's name, address, contact information, and title. Proposers unable to certify to the statements must attach an explanation to their proposal. The certification references 31 U.S.C. Sections 3801 et seq., establishing that false statements may result in criminal penalties. This document is a standard federal compliance requirement for contractors seeking to do business with state and local government agencies receiving federal funding.
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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 .