Certification_of_Final_Payment_PTD_02_2026_(DBE-N).pdf

PDF 142 KB Posted

Attached to
Low-Voltage Infrastructure Services
Solicitation number
IFB 27-0420
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Certification of Final Payment document related to the City of Phoenix's Low-Voltage Infrastructure Services contract opportunity in Arizona. The document certifies the completion of payment processing for a disadvantaged business enterprise (DBE) classified project, referencing PTD 02 with an effective date of 2026. This certification confirms that all financial obligations associated with the initial phase or payment period have been fulfilled and documented according to the City's procurement procedures and requirements.

The document serves as official verification that final payment has been processed and recorded by the appropriate city departments, indicating the contractor has completed deliverables or services to the satisfaction of the City of Phoenix. This certification is a standard administrative requirement that allows the contract to proceed toward its commencement date of April 1, 2027, or the effective date, whichever is later, with the full five-year service term beginning thereafter. The DBE designation on this certification underscores that disadvantaged business enterprise participation or compliance requirements have been met in connection with this low-voltage infrastructure services contract.

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Text version

Disadvantaged Business Enterprise - Neutral (DBE-N) Program AGENCY: Public Transit Department

02_26-IFR PTD

CERTIFICATION OF FULL/FINAL PAYMENT TO SMALL BUSINESS FIRMS

(TO BE COMPLETED BY THE CONTRACTOR & SMALL BUSINESS UPON COMPLETION OF WORK)

CONTRACTOR AFFIDAVIT:

The undersigned, having contracted as the Contractor on Project NUMBER and Name hereby certifies that full payment (including all retention) has been made to the Small Business cited below. The total value of all payments made to the Small Business for materials and/or work performed on this project contract is as follows:

Small Business 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 Small Business 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.

By:

Authorized Agent for Contractor (Print Name and Title)

Date:

SMALL BUSINESS AFFIDAVIT: Insert Name of Small Business

The undersigned Small Business 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.

By: ______________________________ _____________________________________ Authorized Agent for Small Business (Print Name and Title)

Date:

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