4337-227-A_Attachment_H_-_Debarment_Form.pdf

This is a Debarment Certification Form (Attachment H) for subcontractors participating in the City of Fort Myers' Citywide Canal Armoring project, a state and local contract opportunity in Florida. The form is required for the Construction Manager at Risk (CMAR) services project, which involves canal armoring across multiple locations in Fort Myers. The prospective subcontractor must certify that neither the firm nor its principals are currently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal transactions by any Federal department or agency. The form requires submission by the subcontractor with signature authorization, the sub-recipient's name, contract number (4337-227-A), FEMA Project Number (H1145), street address, city, state, zip code, and date of certification.

If a prospective subcontractor is unable to provide the required certification, an explanation must be attached to the form. This debarment certification is a standard federal compliance requirement for subcontractors on projects involving federal funding or federal agency participation, ensuring that only eligible contractors participate in the construction and armoring work on the City's canal system.