Submittals_-_Debarment_&_Exclusion_rev_2-2025.pdf

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Attached to
Event Equipment Rental Services
Solicitation number
PKS-IFB-26-0175
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Debarment and Exclusion Certification form required for submission with the City of Phoenix's sealed bid solicitation for Event Equipment Rental Services in Arizona. The certification requires the prospective participant to confirm that neither the bidder 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. The form must be signed by an authorized official and returned with the bid submittal. The underlying contract opportunity is for Event Equipment Rental Services with a five-year term commencing on or about April 1, 2026, with the effective date contingent upon City Council award and signature and recording by the City Clerk's department. Any extension of the contract term would be exercised at the City's discretion, and the agreement will terminate upon the earlier of the contract end date or termination pursuant to the agreement's provisions.

Bidders unable to certify the debarment and exclusion statements must attach a written explanation to the certification. The form requires submission of the prospective participant's authorized official name, title, signature, and date, as well as the name, signature, title, and date of a CDS authorized representative. Prospective participants are advised that the provisions of 31 U.S.C. Section 3801 et seq. apply to this certification, and bidders should certify the truthfulness and accuracy of all submitted statements. Technical support for the City's Procurement Portal is available through the support bubble or via email at procurement-support@opengov.com, and bidders with other solicitation-related questions should contact the procurement officer listed in the solicitation documents.

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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 .