Note: The A/E firm will submit the following statement on the firm’s letterhead. The
document may be modified as necessary to meet the specific conditions of the project.
Template for
Architect Certification Letter
Project Title: [Insert title]
Project Number: [Insert project number, #####-##]
Project Type: [Insert type]
Grant Number: [Insert grant number]
Grantee Name: [Insert name]
(A/E firm) has reviewed the construction contract and its documents for (new
construction or alteration/renovation) of the (facility name) at (site location) that is being
funded with the assistance of the grant received from the Health Resources and
Services Administration’s (insert grant program name) Grant Program (insert grant
number).
The proposed contract and cost, based on my professional experience, addresses the
scope of work identified for general construction of the project, within an acceptable
range. Therefore, (A/E firm) recommends that the contract for (new construction or
alteration/renovation) of (facility name) be awarded to (insert successful contractor
name).
(A/E firm) has not found (insert successful contractor name) to be on the List of Parties
Excluded from Federal Procurement or Nonprocurement Programs.
_____________________________________
(Signature of firm’s authorized representative)
_____________________________________
(Date)
