Attachment_H_-Certification_Regarding_Debarment,_Suspension,_Ineligibility_And_Voluntary_Exclusion.pdf

This is a Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion form submitted by a subcontractor to the City of South Daytona, Florida for a professional engineering services contract (DEM Contract Number H1304, FEMA Project Number 4734-034-R). The form certifies that the subcontractor, its principals, and affiliates are not presently debarred, suspended, proposed for debarment, declared ineligible, voluntarily excluded, or otherwise disqualified from participation in federal transactions by any Federal department or agency. The certification is required as part of the City's compliance with federal procurement guidelines and FEMA requirements for the Hazard Mitigation Grant Program funding this project.

This document represents standard federal compliance documentation necessary for entities engaging in federally-funded projects. The form requires the subcontractor's authorized representative to sign and provide identifying information including name, title, street address, and date of certification. Completion and submission of this certification is a prerequisite for bid consideration on the Lift Station 2 Design & Permitting project, with sealed bids due August 3, 2026 at 2:00 p.m. The certification ensures that all parties involved in the project meet federal eligibility requirements and maintains the integrity of the procurement process under FEMA guidelines.