Submittals_-_Debarment_&_Exclusion_rev_2-2025_(1).pdf
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- Attached to
- Parks and Recreation Event-Related Services
- Solicitation number
- PKS-RFQu-26-0119
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Debarment and Exclusion Certification form required by the City of Phoenix, Arizona for participation in a Parks and Recreation Event-Related Services contract opportunity. The certification document serves as a prerequisite submittal for prospective participants bidding on this five-year term contract commencing on or about February 1, 2026. Prospective bidders must certify that neither they nor their principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in any transaction by any federal, state, or local department or agency. The form requires signature and completion by an authorized official of the bidding entity, with space for the official's name, title, signature, and date. Additionally, the form includes a section for CDS authorized personnel to sign and date the certification upon receipt.
Any prospective participant unable to certify the statements contained in this certification must attach a written explanation to accompany the form. Bidders are reminded that the provisions of 31 U.S.C. 3801 et seq. apply to this certification, and all statements submitted must be truthful and accurate. This debarment certification must be signed and returned with the submittal to the City of Phoenix as part of the bidding process for Parks and Recreation Event-Related Services.
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Text version
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, AND OTHER INELIGIBILITY
AND VOLUNTARY EXCLUSION
(please sign and return with the submittal)
The prospective participant certifies, by submission of this certification, that neither it nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in any transaction by any federal, state, or local department or agency. Where the prospective participant is unable to certify any of the statements in this certification, such participant shall attach an explanation to this certification.
THE PARTICIPANT CERTIFIES OR AFFIRMS THE TRUTHFULNESS AND ACCURACY
OF THE CONTENTS OF THE STATEMENTS SUBMITTED ON OR WITH THIS
CERTIFICATION AND UNDERSTANDS THAT THE PROVISIONS OF 31 U.S.C. 3801
ET SEQ. ARE APPLICABLE THERETO.
Authorized Official Name
Title of Authorized Official
Signature
Date
| CDS Authorized Name: |
| CDS Authorized Signature: |
| CDS Authorized Title: |
| CDS Date: |
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