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State of Washington Department of Ecology <br />Agreement No: SWMCLCP- 192 1 -KiCoSW-00003 <br />Project Title: Litter and Illegal Dump Cleanup and Prevention Project <br />Recipient Name: Kittitas County Solid Waste <br />Fundina Distribution Summary <br />Recipient / Ecology Share <br />Page 10 of 20 <br />Funding Distribution Name <br />Recipient Match % <br />Recipient Share <br />Ecology Share <br />Total <br />Community Litter Cleanup <br />Program <br />0.00 % <br />$ 0.00 <br />$ 65,000.00 <br />$ 65,000.00 <br />F— Total <br />$ 0.00 <br />$ 65,000.00 <br />$ 65,000.00 <br />AGREEMENT SPECIFIC TERMS AND CONDITIONS <br />N/A <br />SPECIAL TERMS AND CONDITIONS <br />Grant administrative costs are limited to 10 percent of grant approved expenditures, excluding Tools and Trucks. <br />Administrative costs for Tools and Trucks are not allowed under this grant program. <br />RECIPIENT must submit within thirty (30) days after the expiration date of this Agreement, all financial (including payment <br />requests), performance, and other reports required by this Agreement. ECOLOGY shall have the right to deny reimbursement <br />of payment requests received after this date. <br />GENERAL FEDERAL CONDITIONS <br />If a portion or all of the funds for this agreement are provided through federal funding sources or this agreement is <br />used to match a federal grant award, the following terms and conditions apply to you. <br />A. CERTIFICATION REGARDING SUSPENSION, DEBARMI N—L INELIGIBILITY OR VOLUNTARY <br />EXCLUSION: <br />1. The RECIPIENT/CONTRACTOR, by signing this agreement, certifies that it is not suspended, debarred, proposed for <br />debarment, declared ineligible or otherwise excluded from contracting with the federal government, or from receiving <br />contracts paid for with federal funds. If the RECIPIENT/CONTRACTOR is unable to certify to the statements <br />contained in the certification, they must provide an explanation as to why they cannot. <br />2. The RECIPIENT/CONTRACTOR shall provide immediate written notice to ECOLOGY if at any time the <br />RECIPIENT/CONTRACTOR learns that its certification was erroneous when submitted or had become erroneous by <br />reason of changed circumstances. <br />3. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, <br />primary covered transaction, principal, proposal, and voluntarily excluded, as used in this clause, have the meaning set <br />out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact <br />ECOLOGY for assistance in obtaining a copy of those regulations. <br />4. The RECIPIENT/CONTRACTOR agrees it shall not knowingly enter into any lower tier covered transaction with a <br />person who is proposed for debarment under the applicable Code of Federal Regulations, debarred, suspended, <br />declared ineligible, or voluntarily excluded from participation in this covered transaction. <br />5. The RECIPIENT/CONTRACTOR further agrees by signing this agreement, that it will include this clause titled <br />Template Version 10/30/2015 <br />