Certifications_Signature_Page.pdf

The document is a Certifications Signature Form issued by the Arizona Department of Housing, specifically a signature page requiring completion for a state and local contract opportunity. The form requires an official's signature and confirmation of various certifications including Civil Rights, Equal Employment Opportunity, Equal Opportunity for Workers with Disabilities, Procurement of Recovered Materials, Access to Records, Conflict of Interest, and Anti-Lobbying provisions. The form is a prerequisite for entering into a transaction and carries significant legal weight, with potential civil penalties ranging from $10,000 to $100,000 for failure to file the required certifications.

The certification form is associated with the Jerry Ambrose Veterans Council Transitional Housing Rehabilitation - Phase II project in Kingman, Arizona, which is being funded through a Community Development Block Grant from the Arizona Department of Housing. Bidders are required to have a minimum B-2 commercial license from the Arizona Registrar of Contractors. The procurement process is conducted through the City of Kingman's OpenGov procurement portal, with bid questions due by 6:00 pm on June 2, 2025, and final bids due by 3:00 pm on June 12, 2025. The City reserves the right to reject any bid that does not comply with solicitation procedures or when cancellation is in the best interest of the City.