Submittals_-_Debarment_&_Exclusion_rev_2-2025.pdf

PDF 139 KB Posted

Attached to
Performance Entertainment Coordination Services
Solicitation number
RFQu-24-0427
Issued by
Maricopa County, Phoenix City, Arizona

About this file

The document is a Certification Regarding Debarment, Suspension, and Other Ineligibility and Voluntary Exclusion form from the City of Phoenix. The certification requires a prospective participant to affirm that neither the organization 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.

If the prospective participant cannot certify these statements, they are required to attach an explanation. The document emphasizes the truthfulness and accuracy of the submitted statements, noting that the provisions of 31 U.S.C. 3801 et seq. are applicable. The form includes spaces for an authorized official's name, title, signature, and date to complete the certification process.

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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 .