4-4. REQUIRED DEBARMENT CERTIFICATION Attachment H - HMGP GRANT 4399-081-A.pdf
PDF 84 KB Posted
- Attached to
- Re-Bid Pump Station 182 Redundant Power
- Solicitation number
- IFB-043-26-RM
- Issued by
- Leon County, Florida
About this file
This is a Required Debarment Certification attachment for a FEMA Hazard Mitigation Grant Program (HMGP) project administered by the City of Tallahassee, Florida. The certification document, designated as Attachment H, is required for subcontractors participating in the Re-Bid Pump Station 182 Redundant Power project (DEM Contract Number 4399-081-A, FEMA Project Number H1066). The subcontractor certification confirms that neither the subcontractor, its principals, nor its affiliates are currently debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded, or disqualified from participation in any Federal department or agency transactions. The project involves construction of a redundant underground power supply system from the City of Tallahassee Electric Department's distribution system to Pump Station 182, with work including supply and installation of four-inch electrical conduits via horizontal directional drilling, termination cabinets, a pad-mounted transformer, primary conductors, a 2000-amp Main Breaker, and an Automatic Transfer Switch (ATS).
This certification document serves as a compliance requirement for FEMA grant funding and must be submitted by all prospective subcontractors prior to award and work commencement. The document requires the subcontractor's signature, name, title, street address, city, state, zip code, and date of certification. No specific pricing, contract term, or performance schedule information is contained within this certification attachment.
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Text version
Attachment H
Certification Regarding Debarment, Suspension, Ineligibility
And Voluntary Exclusion
Subcontractor Covered Transactions
The prospective subcontractor, , of the Sub-Recipient certifies, by submission of this document, that neither it, its principals, nor affiliates are presently debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded, or disqualified from participation in this transaction by any Federal department or agency.
SUBCONTRACTOR
By: City of Tallahassee Signature Sub-Recipient’s Name
H1066 Name and Title DEM Contract Number
4399-081-A Street Address FEMA Project Number
City, State, Zip
Date
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