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 submittal form required by the City of Phoenix Parks and Recreation Department for the Event Equipment Rental Services solicitation (PKS-IFB-26-0175). The certification must be signed and returned with the bid submittal and confirms that the prospective participant, including all principals, is not 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 attestation by an authorized official and includes a CDS (Community Development Services) authorization section. Participants unable to certify the statements must attach a written explanation to the certification. The form references 31 U.S.C. 3801 et seq., affirming that participants understand the federal False Claims Act provisions apply to the truthfulness and accuracy of the submitted certification.
This certification form is a mandatory compliance document for all bidders responding to the City of Phoenix's Event Equipment Rental Services contract opportunity, which has an offer submission deadline of January 26, 2026, at 2:00 PM. The form serves as a prerequisite for bid consideration and must be completed and signed before a bid can be accepted. No exceptions or alternative documentation methods are provided; all prospective participants must submit this certification with their bid responses.
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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 .