Attachment_-_Certification_of_Full_-_Final_Payments_to_DBE_Firms.pdf

This document is a Certification of Full/Final Payment to DBE Firms form issued by the City of Phoenix Public Transit Department, designed to verify that contractors have made complete payments to Disadvantaged Business Enterprise (DBE) firms upon project completion. The form functions as a dual-affidavit document requiring certification from both the prime contractor and the DBE subcontractor, with the contractor attesting that full payment including all retention has been made to the cited DBE firm, and the DBE firm confirming receipt of the stated payment amount for materials and work performed. Both parties must declare under penalty of perjury that all statements are true and complete, and supporting documentation for all payments must be retained for a minimum of three years from the project acceptance date. The form includes specific fields for identifying the project, DBE firm name, total amount paid, authorized agent signatures, and printed names and titles of representatives from both the contractor and DBE firm.

This certification form is a compliance and audit document rather than a solicitation or contract award notice. It serves as the final documentation required under the City of Phoenix's DBE participation program, which is a significant requirement for the Cancer Screening Services contract opportunity valued at a maximum annual amount of $3,500,000. The form emphasizes that any discrepancies regarding delayed or withheld payments must be fully documented and submitted for verification. This document is relevant to contractors bidding on the five-year cancer screening services contract commencing July 1, 2027, as they will be obligated to complete and submit this certification upon fulfilling their contracted work and ensuring all DBE subcontractors have received final payment in accordance with their initial participation commitments.