Attachment_-_Certification_of_Full_-_Final_Payments_to_DBE_Firms.pdf
PDF 106 KB Posted
- Attached to
- Theatrical Rigging State and local contract opportunity
- Solicitation number
- IFB-PCC-26-0109
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Certification of Full and Final Payments to Disadvantaged Business Enterprise (DBE) Firms document related to the City of Phoenix's Theatrical Rigging contract opportunity in Arizona. The document serves as a certification mechanism for contractors to document and verify that all payments owed to DBE subcontractors and vendors have been paid in full upon project completion. This certification requirement ensures compliance with DBE participation goals and federal/local procurement regulations governing the use of minority and disadvantaged business enterprises on public works and service contracts.
The certification document establishes accountability for DBE payment obligations throughout the contract term and upon final project completion. Contractors are required to complete and submit this certification to demonstrate good faith compliance with DBE commitments made during the bidding process. The document functions as a verification tool that protects DBE firms by creating a formal record of payment completion and holds prime contractors accountable for fulfilling their contractual obligations to their DBE subcontractors before receiving final payment themselves.
View the file
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| Theatrical_Rigging_(Addendum_#2_Revision).pdf | ||
| B-_Manual_Rigging_Systems_.docx | DOCX document | |
| A_-Equipment_General_Requirements.docx | DOCX document | |
| Addendum_Form.docx | DOCX document | |
| Attachment_-_PTD_Disadvantaged_Business_Enterprise_-_Small_Business_Participation_Plan_Annual.pdf | ||
| Attachment_-_PTD_Disadvantaged_Business_Enterprise_-_Small_Business_Participation_Plan_Initial_Plan.pdf | ||
| Attachment_-_Request_for_Substitution_-_Exemption.pdf | ||
| SAP_Open_Catalog_Interface_5_1.pdf | ||
| Sensitive_Security_Information_Acknowledgement_Form.docx | DOCX document | |
| Supplemental_Terms_And_Conditions_To_All_Airport_Agreements_(Rev._5-22-24-Formatting_Rev._7-11-24).pdf |
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Text version
By:
Date:
City of Phoenix
PUBLIC TRANSIT DEPARTMENT
CERTIFICATION OF FULL/FINAL PAYMENT TO DBE FIRMS
(TO BE COMPLETED BY THE CONTRACTOR & DBE FIRM UPON COMPLETION OF WORK)
CONTRACTOR AFFIDAVIT:
The undersigned, having contracted as the Contractor on Project _________________ (Project Number and Name) hereby certifies that full payment (including all retention) has been made to the DBE firm cited below. The total value of all payments made to the DBE firm for materials and/or work performed on this project contract is as follows:
DBE Firm:
Total Amount Paid:
This certification is made under Federal and State laws concerning false statement.
Supporting documentation for this payment is subject to audit and should be retained for a minimum of three (3) years from the project acceptance date. In the event the DBE was not paid in accordance with affidavits submitted by the Successful Bidder, all documentation supporting the Successful Bidder 's position with regards to delayed or withheld payment(s) should be submitted.
I DECLARE UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, AND ANY
OTHER APPLICABLE STATE OR FEDERAL LAW, THE STATEMENTS MADE ON
THIS DOCUMENT ARE TRUE AND COMPLETE TO THE BEST OF MY
KNOWLEDGE.
Signature of Authorized Agent for Contractor
Printed Name and Title
By:
Date:
DBE FIRM AFFIDAVIT:
(Name of DBE)
The undersigned DBE firm hereby certifies that a contract was entered into with the above named Contractor to perform work or provide materials on the project cited in this document. I further certify that the total amount of payments received as provided herein by the prime contract is accurate and unchallenged.
I DECLARE UNDER PENALTY OF PERJURY IN THE SECOND DEGREE, AND ANY
OTHER APPLICABLE STATE OF FEDERAL LAWS, THE STATEMENTS MADE ON
THIS DOCUMENT ARE TRUE AND COMPLETE TO THE BEST OF MY
KNOWLEDGE.
Signature of Authorized Agent for DBE Firm
Printed Name and Title
| Exhibit - Initial SBPP Plan |
| Exhibit - DBE Annual SBPP Plan |
| Exhibit - DBE Request for Substitution or Exemption |
| Exhibit - DBE Certification of Final Payment |
| CONTRACTOR AFFIDAVIT: |
| DBE Firm: |
| Total Amount Paid: |
| Printed Name and Title: |
| Text57: |
| Name of DBE: |
| Printed Name and Title_2: |
File details come from the government source that posted it. Updated .