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As federal funds are a basis for this Agreement, the SUBRECIPIENT certifies that the SUBRECIPIENT
<br />is not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
<br />participating in this Agreement by any federal department or agency.
<br />The SUBRECIPIENT shall complete, sign , and return a Certification Regarding Debarment.
<br />Suspension, Ineligibility, and Voluntary Exclusion form located at http://miLwa .gov/emergency-management-
<br />divison/grants/requiredgrantforms. Any such form co mpleted by the SUBRECIPIENT for this Agreement shall
<br />be incorporated into this Agreement by reference.
<br />Further, the SUBRECIPIENT agrees to comply with all applicable federal regula tj ons concerning the
<br />federal debarment and suspension system, including 2 CFR Part 180. The SUBRECIPIENT certifies that it will
<br />ensure that potential sub-contractors or sub-recipients or any of their principals are not debarred, suspended,
<br />proposed for debarment, declared ineligible, or voluntarily excluded from participation in "covered transactions"
<br />by any federal department or agency. "Covered transactions " include procurement contracts for goods or
<br />services awarded under a non-procurement transactron (e.g. grant or cooperative agreement) that are
<br />expected to equal or exceed $25,000, and sub-awa rds to sub-recipients for any amount. With respect to
<br />covered transactions, the SUBRECIPIENT may comply with this provision by obtaining a certification
<br />statement from the potential sub-contractor or sub-recipient or by checking the System for Award Management
<br />(http://www.sam.gov) maintained by the federal govemment The SUBRECIPIENT also agrees not to e'nter into any
<br />arrangements or contracts with any party on the Washington State Department of Labor and Industries ' "Debarred
<br />Contractor Lisf' (http://INww.ln i.wa.govlTradesLicensing/PrevWage/AwardingAgehdeslOebarredC(:mtracto~. The
<br />SUBRECIPIENT also agrees not to enter into any agreements or contracts for the purchase of goods and services with
<br />any party on the Department of Enterprise Services' Debarred Vendor List
<br />(http ://www.des .wa .g ov/serviceslContractingPurchasing/Business/PagesNendor-Debarmentaspx).
<br />CERTIFICATION REGARDING RESTRICTIONS ON LOBBYING
<br />As required by 44 CFR Part 18, the SUBRECIPIENT hereby certifies that to the best of its knowledge and
<br />belief: (1) no federally appropriated funds have been paid or will be paid by or on behalf of the SUBRECIPIENT
<br />to any person for influencing or attempting to influence an officer or employee of an agency, a Member of
<br />Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
<br />the awarding of any federal contract. the mak ing of any federal grant, the making of any federal loan, the
<br />entering into of any coop,erative agreement, and the extension, continuation, renewal, amendment, or
<br />modification of any federal contract ,grant, loan , or cooperative agreement; (2) that if any funds other than
<br />federal appropriated funds have been paid or will be paid to any person for influencing or attempting to
<br />influence an officer or employee of any agency, a Membe r of Congress , an office r or employee of Cengress , or
<br />an employee of a Member of Congress in connection with this Agreement. grant. loan , or cooperative
<br />agreement, the SUBRECIPIENT will complete and submit Standard Form-LLL. "Disclosure Form to Report
<br />Lobbying," in accordance with its instructions; (3) and that , as applicable, the SUBRECIPIENT will require that
<br />the language of this certification be included in the award documents for all subawards at all tiers (including
<br />sub-contracts, sub-grants, and contracts under grants. loans,. and cooperative agreements) and that all sub-
<br />recipients shall certify and disclose accordingly. This certification is a material representation of fact upon
<br />which reliance was placed when this transaction was made or entered into, and is a prerequisite for making or
<br />entering into this transaction imposed by section 1352, title 31 , U.S. Code .
<br />COMPLIANCE WITH APPLICABLE STATUTES, RULES AND DEPARTMENT POLICIES
<br />The SUBRECIPIENT and all its contractors shall comply with, and the DEPARTMENT is not
<br />responsible for determining compliance with, any and all applicable federal, state, and local laws, regulations,
<br />executive orders, OMB Circulars, and/or policies . This obligation includes, but is not limited to:
<br />nondiscrimination laws and/or policies, Energy Policy and Conservation Act (PL 94-163, as amended), the
<br />Americans with Disabilities Act (ADA) , Age Discrimination Act of 1975, Title VI of the Civil Rights Act of 1964,
<br />Civil Rights Act of 1968, the Robert T. Stafford Disaster Relief and Emergency Assistance Act, (PL 93-288, as
<br />amended), Ethics in Public Service (RCW 42.52), Covenant Against Contingent Fees (48 CFR Section 52.203-
<br />5), Public Records Act (RCW 42.56), Prevailing Wages on Public Works (RCW 39.12), State Environmental
<br />Policy Act (RCW 43.21C), Shoreline
<br />Management Act of 1971 (RCW 90.58), State Building Code (RCW 19.27), Energy Related Building
<br />Standards (RCW 19.27 A), Provisions in Buildings for Aged and Handicapped Persons (RCW 70.92), and
<br />safety and health regulations.
<br />15PDM Page 10 of43 Kittitas County Dept. Of Public Works, E 17-062
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