Attachment_-_Certification_of_Full_-_Final_Payments_to_DBE_Firms.pdf

This is a Certification of Full/Final Payment to Disadvantaged Business Enterprise (DBE) Firms form utilized by the City of Phoenix Public Transit Department. The document serves as an official affidavit to be completed by both the prime contractor and the DBE firm upon completion of work on a project contract. The form requires the contractor to certify that full payment, including all retention amounts, has been made to the cited DBE firm, with the total value of all payments for materials and/or work performed documented on the form. The certification process is subject to Federal and State laws regarding false statements, and all supporting documentation must be retained for a minimum of three years from the project acceptance date. The document includes separate affidavit sections for both the authorized contractor representative and the DBE firm representative, each required to declare under penalty of perjury in the second degree that the statements made are true and complete to the best of their knowledge.

The form functions as a compliance and audit mechanism within the City of Phoenix's procurement framework for public transit projects. In the event that a DBE was not paid in accordance with affidavits previously submitted by the successful bidder, documentation supporting the bidder's position regarding delayed or withheld payments must be provided. The certification form is associated with the City's broader Small Business and Professional Program (SBPP) plan requirements, as referenced through exhibits for initial plans, annual plans, substitution or exemption requests, and final payment certifications. This document is part of the contracting process for the City of Phoenix's plastic signage materials solicitation, a five-year contract commencing on or about April 1, 2026, which requires compliance with DBE participation and payment certification protocols.