H-_FEMA_Debarment_Form.pdf

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Attached to
Elevation of Six (6) Flood-Prone Homes
Solicitation number
05-26-ENG
Issued by
Volusia County, Orlando City, Florida

About this file

This is a FEMA Debarment Certification form completed by the City of New Smyrna Beach as the sub-recipient for a federal hazard mitigation project. The form certifies that the prospective subcontractor, its principals, and affiliates are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. The certification is associated with FEMA Project Number H0629 and DEM Contract Number 4337-373-R, which pertains to the elevation of six flood-prone homes in Special Flood Hazard Areas (Zone AE) located in New Smyrna Beach, Florida. The project involves structural elevation services to protect residential properties from recurring flood damage, with comprehensive turnkey services including structural assessments, boundary surveys, geotechnical assessments, construction plans, permitting, utility work, and elevation to 10 feet above existing ground level. A non-mandatory pre-bid meeting is scheduled for December 9, 2025, at 2:00 PM via Microsoft Teams, with written questions due by December 18, 2025, at 5:00 PM through the City's eProcurement portal. Bids are due electronically by January 8, 2026, at 2:00 PM, with bid opening at 3:00 PM the same day, and work must be completed by October 31, 2026.

The project is 75% federally funded through FEMA's Hazard Mitigation Grant Program (HMGP), with the remaining 25% provided by the City of New Smyrna Beach and homeowners. Contractors must provide bid security equal to 10% of the total bid amount and maintain specific insurance coverage including Workers' Compensation, Commercial General Liability ($1,000,000 per occurrence), Automobile Liability ($1,000,000 combined single limit), and Professional Liability ($1,000,000). Bidders must be registered with the Florida Department of State, licensed in Volusia County, maintain active Sam.Gov registration, and comply with E-Verify requirements. The procurement encourages participation from disadvantaged business enterprises, requiring affirmative steps to include minority business enterprises (MBEs), women's business enterprises (WBEs), veteran-owned businesses (VOBs), and labor surplus area firms. Liquidated damages are set at $1,694 per calendar day for work not completed by the October 31, 2026, deadline.

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Text version

Certification Regarding Debarment, Suspension, Ineligibility

And Voluntary Exclusion

Attachment H

Subcontractor Covered Transactions

(1) 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, or voluntarily excluded or disqualified from participation in this transaction by any Federal department or agency.

SUBCONTRACTOR

By:

City of New Smyrna Beach

Signature Sub-Recipient’s Name

H0629 Name and Title DEM Contract Number

4337-373-R Street Address FEMA Project Number

City, State, Zip

Date

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