9-Debarment Certification.pdf

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Attached to
Billboard Placement & Advertising Management at Gateway School
Solicitation number
26-003-30
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Debarment Certification form issued by Creighton Elementary School District #14, located at 2702 E Flower Street, Phoenix, Arizona 85016, related to a Billboard Placement and Advertising Management contract opportunity at Gateway Elementary School. The certification document requires authorized company representatives to confirm that neither their company nor any owner or principal of the company has been debarred, suspended, or otherwise made ineligible for participation in Federal Assistance programs under Executive Order 12549. The form includes blank fields for company name, printed name of the authorized representative, title, authorized signature, and date of certification.

The debarment certification must be completed and signed by an authorized company official as part of the bidding process for the billboard placement and advertising management services at Gateway Elementary School, located at 1100 N 35th Street, Phoenix, Arizona 85008. This certification serves as a compliance requirement under the Arizona School District Procurement Rules and affirms the bidder's eligibility to enter into a contract with the District. By signing the certification, the authorized representative attests that the information provided is true, complete, and accurate, and that they possess the authority to make this certification on behalf of their company.

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Text version

CREIGHTON ELEMENTARY SCHOOL DISTRICT #14

2702 E Flower St, Phoenix, AZ 85016

DEBARMENT CERTIFICATION

□ Neither my company nor an owner or principal of my company has been debarred, suspended, or otherwise made ineligible for participation in Federal

Assistance programs under Executive Order 12549, “Debarment and Suspension,” as described in the Federal Register and Rules and Regulations.

By signing below, I certify that the above is true, complete, and accurate, and that I am authorized by my company to make this certification.

Company Name: __________________________________________________________________

Printed Name: ____________________________________________________________________

Title: ____________________________________________________________________________

Authorized Signature: ______________________________________________________________

Date: _____________________

File details come from the government source that posted it. Updated .