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Page 10 of 20State of Washington Department of Ecology <br />Agreement No: <br />Project Title: <br />Recipient Name: <br />SWMLSWFA-2021-KiCPHD-00003 <br />SWE Kittitas Co. PH <br />KITTITAS COUNTY PUBLIC HEALTH <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 />“CERTIFICATION REGARDING SUSPENSION, DEBARMENT, INELIGIBILITY OR VOLUNTARY <br />EXCLUSION” without modification in all lower tier covered transactions and in all solicitations for lower tier covered <br />transactions. <br />6.Pursuant to 2CFR180.330, the RECIPIENT/CONTRACTOR is responsible for ensuring that any lower tier covered <br />transaction complies with certification of suspension and debarment requirements. <br />7.RECIPIENT/CONTRACTOR acknowledges that failing to disclose the information required in the Code of Federal <br />Regulations may result in the delay or negation of this funding agreement, or pursuance of legal remedies, including <br />suspension and debarment. <br />8.RECIPIENT/CONTRACTOR agrees to keep proof in its agreement file , that it, and all lower tier recipients or <br />contractors, are not suspended or debarred, and will make this proof available to ECOLOGY before requests for <br />reimbursements will be approved for payment. RECIPIENT/CONTRACTOR must run a search in <br /><http://www.sam.gov> and print a copy of completed searches to document proof of compliance. <br />B. FEDERAL FUNDING ACCOUNTABILITY AND TRANSPARENCY ACT (FFATA) REPORTING <br /> REQUIREMENTS: <br />CONTRACTOR/RECIPIENT must complete the FFATA Data Collection Form (ECY 070-395) and return it with the <br />signed agreement to ECOLOGY. <br /> Any CONTRACTOR/RECIPIENT that meets each of the criteria below must report compensation for its five <br /> top executives using the FFATA Data Collection Form . <br />·Receives more than $25,000 in federal funds under this award. <br />·Receives more than 80 percent of its annual gross revenues from federal funds. <br />·Receives more than $25,000,000 in annual federal funds. <br />Ecology will not pay any invoices until it has received a completed and signed FFATA Data Collection Form . Ecology is <br />required to report the FFATA information for federally funded agreements , including the required DUNS number, at <br />www.fsrs.gov <http://www.fsrs.gov/> within 30 days of agreement signature. The FFATA information will be available to <br />the public at www.usaspending.gov <http://www.usaspending.gov/>. <br />For more details on FFATA requirements, see www.fsrs.gov <http://www.fsrs.gov/>. <br />C. FEDERAL FUNDING PROHIBITION ON CERTAIN TELECOMMUNICATIONS OR VIDEO SURVEILLANCE <br />Template Version 12/10/2020