E and E Vending Att 6 Debarment.pdf

PDF 143 KB Posted

Attached to
Master Agreement AZ|CTR077299
Contract number
CTR077299
Issued by
Arizona

About this file

This document is Attachment 6, a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion for a solicitation (BPM006108) issued by the Arizona Department of Economic Security. The certification is completed by E & E Vending Solutions, with Eddie Harnett signing as Managing Partner on 4/1/2025, certifying the company's eligibility for federal assistance funds.

The solicitation is for Vending Equipment and Related Services, governed by Executive Order 12549 and federal regulations. The document requires the vendor to confirm that neither the company nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participating in federal transactions. The certification is a standard compliance document ensuring the vendor meets federal procurement requirements for lower-tier covered transactions.

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Text version

Attachment 6 - Certification Regarding:

Debarment, Suspension, Ineligibility and

Voluntary Exclusion

Solicitation No.: BPM006108

Description: Vending Equipment and Related Services

RFP Solicitation Instructions (04-24) Available Online at https://app.az.gov Page 18 of 28

Lower Tier Covered Transactions

This certification is required by the regulations implementing Executive Order 12549-Debarment and Suspension, 29 CFR Part 98, Section 98.510, Participant’s responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages 19160-19211).

(BEFORE COMPLETING CERTIFICATION, READ ATTACHED INSTRUCTIONS WHICH ARE AN INTEGRAL PART OF

THE CERTIFICATION)

(1) The prospective recipient of federal assistance funds certifies, by submission of this proposal, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by a federal department or agency.

(2) Where the prospective recipient of federal assistance funds is unable to certify any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

Name of Agency /Organization

Name and Title of Authorized Representative

Signature

Date

E & E Vending Solutions

Eddie Harnett Managing Partner

4/1/2025

File details come from the government source that posted it. Updated .