Submittals_-_Debarment_&_Exclusion_rev_2-2025_(1).pdf

This is a Debarment and Exclusion Certification form required as a submittal document for the City of Phoenix's Basketball Backboard Systems Repair and Preventive Maintenance Services contract opportunity in Arizona. The certification must be signed and returned with the proposal by the prospective participant or authorized official. The underlying contract solicitation is for basketball backboard systems repair and preventive maintenance services with a five-year term commencing on September 1, 2026, with no options to extend. The agreement will become effective upon final signature and recording by the City Clerk's department and will terminate upon the earliest occurrence of reaching the end of the term or termination pursuant to the agreement's provisions.

The Debarment and Exclusion Certification requires the prospective participant to certify 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. Any prospective participant unable to certify these statements must attach an explanation to the certification. The participant must also certify the truthfulness and accuracy of all statements submitted, acknowledging that 31 U.S.C. 3801 et seq. applies to the certification. The form requires the signature and date of an authorized official along with name and title, and includes a separate section for CDS authorized representative information.