Submittals_-_Debarment_&_Exclusion_rev_2-2025.pdf
PDF 139 KB Posted
- Attached to
- Implementation, Operation, Management, and Maintenance of a Traditional Bike Share System in Phoenix
- Solicitation number
- RFP GGS-26-0017
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This document is a Certification Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form from the City of Phoenix. The form requires a prospective participant to certify that neither the participant nor its principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in any transaction by federal, state, or local government departments or agencies.
The certification requires an authorized official to sign and affirm the truthfulness and accuracy of the statements submitted, with the understanding that the provisions of 31 U.S.C. 3801 et seq. are applicable. If the participant is unable to certify any of the statements, they are required to attach an explanation to the certification. The form provides spaces for the authorized official's name, title, signature, and date of signing.
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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: |
File details come from the government source that posted it. Updated .