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

File details come from the government source that posted it. Updated .