CERTIFICATION_OF_CONTRACTOR_REGARDING_DEBARMENT,_SUSPENSION,_AND_OTHER_INELIGIBILITY_AND_VOLUNTARY_EXCLUSION.pdf
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- Solicitation number
- 2024-11
- Issued by
- Fayette County, Kentucky
About this file
The document is a Certification of Contractor Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form from Lextran, which is a standard federal procurement compliance document. The form requires a contractor to certify that they are not currently debarred, suspended, or excluded from participating in federal transactions by any federal department or agency. If a contractor cannot make this certification, they are required to attach an explanation to their proposal.
The form provides spaces for a company to enter its details, including company name, address, contact information, and signature of an authorized official. The certification references 31 U.S.C. Sections 3801 et seq. and requires the signatory to affirm the truthfulness and accuracy of the submitted statements. While the form is associated with a METRO RTA contract for Railroad Track Inspection and Warning Device Maintenance Services in Texas, this specific document is a standard compliance form and does not contain detailed contract specifics beyond the certification requirements.
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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 .